Laura M Maatta, MA QMHP LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

25500 SE Stark St
#202
Gresham, OR 97030-3331

Phone

(503) 516-1825

NPI assigned

Jan 11, 2007

Sex

Female

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

Enrolled in OR

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

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475884800000",
    "number": "1578613790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 SE STARK ST",
            "address_2": "#202",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 SE STARK ST",
            "address_2": "#202",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303331",
            "telephone_number": "503-516-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAATTA",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "MA QMHP LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Lyn, BA IN HUMAN STUDIES
• Janet Lynn, CADCI
• Brittany Lyons, CADC-R, PWS
• Lindsay Lyons, RDH, EFDA
• Brian Ma
• Korinne Mack
• James Macleod
• Mel G Macphee, O.D.
• Kate Madden
• Annastasia Madison

• Mental Health Counselor in Gresham, OR
• Providers in Gresham, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.