Organization Active NPI

Matteson Counseling Services LLC

  • Community/Behavioral Health Agency
  • Mullica Hill, NJ
National Provider Identifier
1275710774
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC05248200 Issued in NJ
Legal business name
MATTESON COUNSELING SERVICES LLC
Practice address
4 Gazell LN
Mullica Hill, NJ 08062-4752
Phone
(856) 223-1571
Fax
(856) 223-1510
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Ms. Susan C Matteson, LCSW
Title
Director
Phone
(856) 223-1571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 44SC05248200 NJ Primary

Addresses

Primary practice location

4 Gazell LN
Mullica Hill, NJ 08062-4752

Mailing address

4 Gazell LN
Mullica Hill, NJ 08062-4752
Phone (856) 223-1571

Other identifiers 1

IdentifierTypeStateIssuer
0162213MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1275710774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GAZELL LN",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080624752",
            "telephone_number": "856-223-1571",
            "fax_number": "856-223-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GAZELL LN",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080624752",
            "telephone_number": "856-223-1571",
            "fax_number": "856-223-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTESON COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "MATTESON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "856-223-1571",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05248200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162213",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.