Active NPI
Bridgette Lynn Mattina, LPC
- Mental Health Counselor
- Humble, TX
National Provider Identifier
1437946142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 88238
- Practice address
- 5611 Fawn Trail LN
Humble, TX 77346-1239 - Phone
- (346) 619-7622
- NPI assigned
- Apr 24, 2025
- 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 | 88238 | TX | Primary |
Addresses
Primary practice location
5611 Fawn Trail LN
Humble, TX 77346-1239
Mailing address
5611 Fawn Trail LN
Humble, TX 77346-1239
Phone (346) 619-7622
Other names 1
- Bridget Lynn Mattina
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Dallas, TX 75373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88238 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Current | Accepting new patients |
Locations
2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1437946142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5611 FAWN TRAIL LN",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773461239",
"telephone_number": "346-619-7622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5611 FAWN TRAIL LN",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773461239",
"telephone_number": "346-619-7622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTINA",
"first_name": "BRIDGETTE",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-24",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "88238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIDGET",
"last_name": "MATTINA",
"middle_name": "LYNN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.