Active NPI
Christine Matteson, LCAT, LMHC
- Mental Health Counselor
- Syracuse, NY
National Provider Identifier
1326436700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 002063
- Practice address
- 1600 Teall Ave
Syracuse, NY 13206-3231 - Phone
- (315) 263-6790
- NPI assigned
- Jan 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 002063 | NY | Primary |
Addresses
Primary practice location
1600 Teall Ave
Syracuse, NY 13206-3231
Mailing address
1600 Teall Ave
Syracuse, NY 13206-3231
Phone (315) 263-6790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 27, 2026 through Mar 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002063 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420588800000",
"number": "1326436700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 TEALL AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132063231",
"telephone_number": "315-263-6790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 TEALL AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132063231",
"telephone_number": "315-263-6790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTESON",
"first_name": "CHRISTINE",
"credential": "LCAT, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-07",
"last_updated": "2015-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "002063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.