Kathryn Mattingly

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6863-125 Issued in WI

Practice address

PO Box 5
Whitewater, WI 53190-0005

Phone

(608) 371-9752

NPI assigned

May 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
  • NPI 1386719177
  Medicare reassignment NPD
• Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

  • Mental Health Counselor
  • Appleton, WI
  • NPI 1194954941
  NPD
• Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

  • Mental Health Counselor
  • Beloit, WI
  • NPI 1154663375

  Addiction (Substance Use Disorder)

  NPD (past)
• Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Chippewa Falls, WI
  • NPI 1386969723
  NPD (past)
• Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Eau Claire, WI
  • NPI 1659446672
  NPD (past)

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1255788196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N8328 TAYLOR RD",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531903764",
            "telephone_number": "608-371-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531900005",
            "telephone_number": "608-371-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6863-125",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16367-132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Lucht, MSSW, PA-C
• Anna Marilyn Luterbach, OTR
• Anna Lynne Maas, M.S. CCC-SLP
• Courtney Martens, RN
• Sharon Jo Martin, LMT
• MC 5 Inc
• MC5 Inc
• Julie McCalip, LCSW
• Grant McCullough, PHARMD, RPH
• Robert McCullough, RPH

• Professional Counselor in Whitewater, WI
• Providers in Whitewater, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.