Organization Active NPI

Mattie Costill LLC

  • Professional Counselor
  • West Chester, PA
National Provider Identifier
1427827609
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MATTIE COSTILL LLC
Practice address
1030 Warren Rd
West Chester, PA 19382-5755
Phone
(610) 675-6380
NPI assigned
Dec 28, 2023
Last updated
Dec 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Mrs. Mattie Lee Costill, LPCMHNPI 1346690112
Title
Professional Mental Health Counselo
Phone
(610) 675-6380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

1030 Warren Rd
West Chester, PA 19382-5755

Mailing address

1030 Warren Rd
West Chester, PA 19382-5755
Phone (610) 675-6380

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1427827609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 WARREN RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825755",
            "telephone_number": "610-675-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 WARREN RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825755",
            "telephone_number": "610-675-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTIE COSTILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "COSTILL",
        "authorized_official_first_name": "MATTIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PROFESSIONAL MENTAL HEALTH COUNSELO",
        "authorized_official_telephone_number": "610-675-6380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.