Individual provider Active NPI

Marielena Dimatteo, LPCA

  • Mental Health Counselor
  • Bluffton, SC
National Provider Identifier
1740192525
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10627 Issued in SC
Practice address
4 Clark Summit Dr Ste 100
Bluffton, SC 29910-4992
Phone
(843) 640-5362
NPI assigned
Sep 17, 2026
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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 10627 SC Primary

Addresses

Primary practice location

4 Clark Summit Dr Ste 100
Bluffton, SC 29910-4992

Mailing address

276 Station Pkwy
Bluffton, SC 29910-9516
Phone (843) 640-5362

Other practice location 1

1555 Fording Island Rd Ste C2
Hilton Head Island, SC 29926-1176
Phone (843) 640-5362

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

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1740192525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 STATION PKWY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109516",
            "telephone_number": "843-640-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CLARK SUMMIT DR STE 100",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104992",
            "telephone_number": "843-640-5362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Fording Island Rd Ste C2",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299261176",
            "country_code": "US",
            "telephone_number": "843-640-5362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMATTEO",
        "first_name": "MARIELENA",
        "name_prefix": "Ms.",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "10627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.