Lee Megan Mattingly, MA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

170692 Issued in KY

Practice address

1311 N Dixie Ave BLDG C
Elizabethtown, KY 42701-2621

Phone

(270) 692-1304

Fax

(270) 234-8028

NPI assigned

Jun 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Communicare Inc

  • Community/Behavioral Health Agency
  • Brandenburg, KY
  • NPI 1295872638

  KY

  Medicare reassignment Care Compare group NPD
• Communicare Inc

  • Community/Behavioral Health Agency
  • Hodgenville, KY
  • NPI 1821419789
  NPD
• Communicare Inc

  • Community/Behavioral Health Agency
  • Lebanon, KY
  • NPI 1013054451
  NPD (past)

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Communicare Inc 26 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1346401593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N DIXIE AVE BLDG C",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012621",
            "telephone_number": "270-692-1304",
            "fax_number": "270-234-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N DIXIE AVE BLDG C",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012621",
            "telephone_number": "270-692-1304",
            "fax_number": "270-234-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "LEE",
        "middle_name": "MEGAN",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "170692",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": "0978",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Denise Masters, LCSW
• Lauren Matthews, M.S. CF-SLP
• Frank Mattie, L.C.S.W.
• Faith Ann Mattingly, RN
• Layla Catherine Mattingly, RDH
• Sarah Spears Mattingly, CSW
• Stephen Paul Mattingly
• Erika Del Carmen Matzdorff, LPCA
• Malcolm Ray Matzdorff Jr.
• Emily Maxwell

• All providers in Elizabethtown, KY
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.
• 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.