Individual provider Active NPI

Aleta Annamarie Mattaino, M.A., L.M.H.C., N.C.

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1225264195
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00011154 Issued in WA
Practice address
927 N Northlake Way Ste 220
Seattle, WA 98103-8871
Phone
(206) 948-6844
Fax
(206) 695-2302
NPI assigned
Jun 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00011154 WA Primary

Addresses

Primary practice location

927 N Northlake Way Ste 220
Seattle, WA 98103-8871

Mailing address

16727 45TH Ave NE
Lake Forest Park, WA 98155-5615
Phone (206) 948-6844

Other identifiers 1

IdentifierTypeStateIssuer
2043358MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240115001175 WA Practitioner - Mental Health Counselor 5496107567 Practice locations: Seattle, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH00011154WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Murphy, Licsw, PLLC PastSince Mar 13, 2022 Accepting new patients
Chris Brubaker, LLC PastSince Mar 28, 2016 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1225264195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16727 45TH AVE NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981555615",
            "telephone_number": "206-948-6844",
            "fax_number": "206-695-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 N NORTHLAKE WAY STE 220",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038871",
            "telephone_number": "206-948-6844",
            "fax_number": "206-695-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTAINO",
        "first_name": "ALETA",
        "middle_name": "ANNAMARIE",
        "credential": "M.A., L.M.H.C., N.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00011154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2043358",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.