Active NPI
Winsome Mattis
- Counselor
- Brooklyn, NY
National Provider Identifier
1801257936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 083515
- Practice address
- 4011 Foster Ave
Brooklyn, NY 11203-5633 - Phone
- (347) 556-9547
- NPI assigned
- Mar 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 083515 | NY | Primary |
Addresses
Primary practice location
4011 Foster Ave
Brooklyn, NY 11203-5633
Mailing address
4011 Foster Ave
Brooklyn, NY 11203-5633
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083515 | NY | MD | Counselor |
Interoperability endpoints
- winsome.mattis@xdr.hhchealthdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458172800000",
"number": "1801257936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 FOSTER AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112035633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 FOSTER AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112035633",
"telephone_number": "347-556-9547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTIS",
"first_name": "WINSOME",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-17",
"last_updated": "2016-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "083515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.