Renee Anne Mattson, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4209 Issued in SC

Practice address

1150 Hungryneck Blvd
Suite C-364
Mt Pleasant, SC 29464-3484

Phone

(843) 388-9990

NPI assigned

Jan 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Home Rehabilitation, LLCGroup PAC ID 0345418646, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Coastal Home Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Belmar, NJ
  • NPI 1316236664
  Medicare reassignment Care Compare group NPD
• Impact Therapy, LLC

  • Physical Therapist
  • Mt Pleasant, SC
  • NPI 1336325984
  NPD
• Palmetto Speech & Language Assoc, LLC

  • Speech-Language Pathologist
  • North Charleston, SC
  • NPI 1184870206
  NPD (past)

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1326379348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 ASHLEY CROSSING LN",
            "address_2": "APT 23F",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145711",
            "telephone_number": "315-525-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 HUNGRYNECK BLVD",
            "address_2": "SUITE C-364",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643484",
            "telephone_number": "843-388-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "RENEE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Matteson
• Cassidy Matthews, MED, ED.S, LPC-A
• Julia L Matthews
• Amy Matthiessen, OT
• Ava Nicole Mattina
• Melanie Mills Maxwell, MSOT,OTR/L
• Sarah Adrienne Maxwell, PT, DPT
• Rachel Elizabeth May, PA-C
• Nicolas James Mazal, M.D.
• Derek R Mazerolle, LMT

• Speech-Language Pathologist in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.