Mattpal PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MATTPAL PLLC

Practice address

2412 N 30TH St Ste 102
Tacoma, WA 98407-6322

Phone

(253) 209-2661

NPI assigned

Mar 20, 2018

Organization subpart

No

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

Authorized official

Name

Gina Palumbo

Title

Executor

Phone

(253) 209-2661

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1255835823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 N 30TH ST STE 102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984076322",
            "telephone_number": "253-209-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 N 30TH ST STE 102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984076322",
            "telephone_number": "253-209-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTPAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "PALUMBO",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "EXECUTOR",
        "authorized_official_telephone_number": "253-209-2661"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamill Amir Matthews, FNP
• Charissa Grace Matthias
• Susanne E Matthys-Ollodart, M.D.
• Alicia Marie Mattison
• Mary Mattox, OT
• Janey Mattson, M.A.
• Jeffrey Walter Mattson, O.D.
• Sandra C Mattson
• Sharon Ann Mattson, RN
• Olya P Mauer

• Mental Health Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.