Individual provider Active NPI

Katherine Marie Matonis, M.ED

  • Mental Health Counselor
  • Bethlehem, PA
National Provider Identifier
1649751991
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1620 Broadway
Bethlehem, PA 18015-3904
Phone
(610) 799-7695
Fax
(610) 867-9655
NPI assigned
Aug 24, 2018
Last updated
Aug 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1620 Broadway
Bethlehem, PA 18015-3904

Mailing address

1620 Broadway
Bethlehem, PA 18015-3904
Phone (610) 799-7695

Other practice location 1

451 Chew St Ste 105
Allentown, PA 18102-3412
Phone (610) 776-5465

Other practice location 2

100 Community Dr Ste 208
Tobyhanna, PA 18466-8987
Phone (570) 243-8787

Other practice location 3

801 E Green St
Allentown, PA 18109-1825
Phone (610) 799-8910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Kidspeace Childrens Hospital Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1649751991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 BROADWAY",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180153904",
            "telephone_number": "610-799-7695",
            "fax_number": "610-867-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 BROADWAY",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180153904",
            "telephone_number": "610-799-7695",
            "fax_number": "610-867-9655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Chew St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181023412",
            "country_code": "US",
            "telephone_number": "610-776-5465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Community Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Tobyhanna",
            "state": "PA",
            "postal_code": "184668987",
            "country_code": "US",
            "telephone_number": "570-243-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 E Green St",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181091825",
            "country_code": "US",
            "telephone_number": "610-799-8910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATONIS",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.