Laura Jean Mattiasen, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 8762 Issued in FL

Practice address

217 Gregory Rd
West Palm Beach, FL 33405-5031

Phone

(561) 633-5742

NPI assigned

Dec 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Laura Jean Mattiasen-Campbell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Beachcomber Rehabilitation, Inc.

  • Substance Abuse Rehabilitation Facility
  • Delray Beach, FL
  • NPI 1669691291
  NPD (past)

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1306234364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 GREGORY RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334055031",
            "telephone_number": "561-633-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GREGORY RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334055031",
            "telephone_number": "561-633-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIASEN",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 8762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MATTIASEN-CAMPBELL",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• George Ryan Mattes, D.C.
• Matthews Chiropractic Inc
• Brian John Matthews, D.C.
• Karen Matthews
• Laura Lee Matthews, OTR/L
• Kennedy Mattila
• Ellen Foster Mattingly, SLP.D., CCC-SLP
• Deidre Mattis, BS
• Susan E Mattox, M.A.
• Alexander M Matute

• Mental Health Counselor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.