Felipe Andres Matamala Sandoval, PSY.M.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61543449 Issued in WA

Practice address

14090 Fryelands Blvd SE Ste 347
Monroe, WA 98272-2760

Phone

(360) 805-3122

NPI assigned

Jul 28, 2023

Sex

Male

Sole proprietor

Yes

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

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.

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1295416634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 CLISE PL W UNIT B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981994027",
            "telephone_number": "206-604-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 FRYELANDS BLVD SE STE 347",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722760",
            "telephone_number": "360-805-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAMALA SANDOVAL",
        "first_name": "FELIPE",
        "middle_name": "ANDRES",
        "credential": "PSY.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-28",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG61440908",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61543449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Rene Marks
• Eunice Margaret Marpaung, MD
• Madison Nicole Marsee, PTA.P1.70119141
• Amanda Joy Martin, LMP
• Jose Mata
• Tara Matiko, PTA
• Raymond Michael Maxwell, D.D.S., P.S.
• Tabitha Michelle Mayhew, LMP
• Kathrine Anne McAleese, BTH
• David McCollum

• Mental Health Counselor in Monroe, WA
• Providers in Monroe, 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 Aug 5, 2025; 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.