Individual provider Active NPI

Marie Terese Matteson, MS LMT HP

  • Massage Therapist
  • Ferndale, WA
National Provider Identifier
1174680276
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MASS.MA.00010351 Issued in WA
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

Updated by the provider on May 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RC52217OtherWAREGISTERED COUNSELOR
HP60104589OtherWASTATE OF WASHINGTON DOH
MA10351OtherWALIC MASSAGE PRACTITIIONER

Other names 1

  • Marie Terese Matteson-Olsen Former name

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

LicenseStateTypeSpecialty
HP60104589WAMDPastoral Counselor
RC52217WAMDPastoral Counselor
1164236WAMDBasic Emergency Medical Technician
MASS.MA.00010351WAMDMassage 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.

Verify at the official NPI Registry.