Active NPI
Marie Terese Matteson, MS LMT HP
- Massage Therapist
- Ferndale, WA
National Provider Identifier
1174680276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MASS.MA.00010351
- Practice address
- 6335 Portal Way
Ferndale, WA 98248-8316 - Phone
- (360) 815-7180
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | RC52217 | WA | |
| Massage Therapist | 225700000X | MASS.MA.00010351 | WA | Primary |
| Pastoral Counselor | 101YP1600X | HP60104589 | WA | |
| Basic Emergency Medical Technician | 146N00000X | 1164236 | WA |
Addresses
Primary practice location
6335 Portal Way
Ferndale, WA 98248-8316
Mailing address
6335 Portal Way
Ferndale, WA 98248-8316
Phone (360) 815-7180
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RC52217 | Other | WA | REGISTERED COUNSELOR |
| HP60104589 | Other | WA | STATE OF WASHINGTON DOH |
| MA10351 | Other | WA | LIC MASSAGE PRACTITIIONER |
Other names 1
- Marie Terese Matteson-Olsen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HP60104589 | WA | MD | Pastoral Counselor |
| RC52217 | WA | MD | Pastoral Counselor |
| 1164236 | WA | MD | Basic Emergency Medical Technician |
| MASS.MA.00010351 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1174680276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6335 PORTAL WAY",
"city": "FERNDALE",
"state": "WA",
"postal_code": "982488316",
"telephone_number": "360-815-7180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6335 PORTAL WAY",
"city": "FERNDALE",
"state": "WA",
"postal_code": "982488316",
"telephone_number": "360-815-7180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTESON",
"first_name": "MARIE",
"middle_name": "TERESE",
"credential": "MS LMT HP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "WA",
"license": "RC52217",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MASS.MA.00010351",
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "WA",
"license": "HP60104589",
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "WA",
"license": "1164236",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED COUNSELOR",
"identifier": "RC52217",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WASHINGTON DOH",
"identifier": "HP60104589",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC MASSAGE PRACTITIIONER",
"identifier": "MA10351",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIE",
"last_name": "MATTESON-OLSEN",
"middle_name": "TERESE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ferndale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.