Kent Mattern, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC1983 Issued in AZ

Practice address

3345 N Windsong Dr
Prescott Valley, AZ 86314-2283

Phone

(928) 445-5211

Fax

(928) 776-8484

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265414387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 DAMERON DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012411",
            "telephone_number": "928-445-5211",
            "fax_number": "928-776-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142283",
            "telephone_number": "928-445-5211",
            "fax_number": "928-776-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTERN",
        "first_name": "KENT",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC1983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Martinez
• Mary E. Moyer MD PLLC
• Mary E. Moyer, MD
• Scholastica Masioge, AGNP
• Hope Matsuda, M.T CC.HT.
• Patricia Ann Matthews, MS CCC SLP
• Miles Maxwell, HIS
• Shannon Mayotte, BSN RN
• Paula McCann
• Crystal McCarthy, PMHNP

• All providers in Prescott Valley, AZ
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.