Ernest Fredrick Mattison, LPC-I

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1011 East Ave
North Augusta, SC 29841-3411

Phone

(803) 474-5129

NPI assigned

Jan 19, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1790142909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 EAST AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413411",
            "telephone_number": "803-474-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 EAST AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413411",
            "telephone_number": "803-474-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "ERNEST",
        "middle_name": "FREDRICK",
        "credential": "LPC-I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP7053",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michelle Matteson, RN BSN
• Kimberly Emia May, NP
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• Laura McAlhaney, PHARMD
• Leigh McBride

• Mental Health Counselor in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.