Individual provider Active NPI

Andrew Paul Mattern, LPC

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1497293104
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
75864 Issued in TX
Practice address
17070 Red Oak Dr Ste 209
Houston, TX 77090-2615
Phone
(832) 225-3345
Fax
(713) 583-1504
NPI assigned
Feb 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 75864 TX
Mental Health Counselor 101YM0800X 75864 TX Primary

Addresses

Primary practice location

17070 Red Oak Dr Ste 209
Houston, TX 77090-2615

Mailing address

17070 Red Oak Dr Ste 209
Houston, TX 77090-2615
Phone (832) 225-3345

Other practice location 1

9894 Bissonnet St Ste 175
Houston, TX 77036-8277
Phone (832) 925-8967

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75864TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Matters PLLC Professional CurrentSince Aug 2, 2018 Accepting new patients
Psych Matters PLLC Professional Current Accepting new patients

Locations

10440 N Central Expy
Ste 1040
Dallas, TX 75231
Phone (832) 225-3345

9894 Bissonnet St
Ste 175
Houston, TX 77036
Phone (832) 925-8967

17070 Red Oak Dr
Ste 209
Houston, TX 77090
Phone (281) 444-1715

4801 Woodway Dr
Ste 306W
Houston, TX 77056
Phone (832) 225-3345

Organizations & group practices 2

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": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1497293104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR STE 209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902615",
            "telephone_number": "832-225-3345",
            "fax_number": "713-583-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR STE 209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902615",
            "telephone_number": "832-225-3345",
            "fax_number": "713-583-1504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9894 Bissonnet St Ste 175",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770368277",
            "country_code": "US",
            "telephone_number": "832-925-8967",
            "fax_number": "713-583-1504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTERN",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-02",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75864",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "75864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.