Carl Mattila, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

60171972 Issued in WA

Practice address

192 E Bakerview Rd Ste 102
Bellingham, WA 98226-8179

Phone

(360) 510-8127

NPI assigned

Oct 12, 2017

Sex

Male

Sole proprietor

Yes

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

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": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1417468877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 W 58TH TER",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982488805",
            "telephone_number": "360-384-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 E BAKERVIEW RD STE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268179",
            "telephone_number": "360-510-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTILA",
        "first_name": "CARL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60171972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent E. Matteucci, M.D.
• Matthew Eric Carlson, DDS, PLLC
• Matthew Meyer, MC, LMHC, Inc.
• Laura Matthews, LMT
• Zoe Claire Matthews, LMHC
• Carolyn Mattson, ARNP
• Hannah Joy Mattson, RDH
• Tamara Marie-Sue Mattson, LMHC
• Dwe Maung Maung
• Maureen a Kelty MD PC

• Mental Health Counselor in Bellingham, WA
• Providers in Bellingham, 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 Oct 12, 2017; 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.