Andrea Matta, B.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61220413 Issued in WA

Practice address

3130 Howe PL Ste 101
Bellingham, WA 98226-5641

Phone

(360) 329-2055

NPI assigned

Jul 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1609485390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 HOWE PL STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265641",
            "telephone_number": "360-329-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 HOWE PL STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265641",
            "telephone_number": "360-329-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTA",
        "first_name": "ANDREA",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61220413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Mathews, RN, BSN, IBCLC
• Christopher P Mathews, R.T
• Tia Mathews
• Adam K Mathiasen, L.M.P.
• Sarah Matsuura, MA
• Sara Mattan, LMP
• Matthew Matteucci, DACM
• Vincent E. Matteucci, M.D.
• Matthew Eric Carlson, DDS, PLLC
• Matthew Meyer, MC, LMHC, Inc.

• 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 25, 2021; 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.