Marcia Souza Mattoso, M.A, MFT., NCGCII

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2415 SE 43Rd.
Suite 200
Portland, OR 97206

Phone

(503) 872-0164

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1811034309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17059 SW RIVENDELL DR.",
            "city": "DURHAM",
            "state": "OR",
            "postal_code": "972247624",
            "telephone_number": "503-639-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 SE 43RD.",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97206",
            "telephone_number": "503-872-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOSO",
        "first_name": "MARCIA",
        "middle_name": "SOUZA",
        "credential": "M.A, MFT., NCGCII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven J Mattison, MD
• Tracy Ann Mattner, LMT
• Mikel Matto, M.D.
• Cassidy Mattos, BSW
• Paige Mattos, RN, IBCLC
• Crystal Jo Mattox, LMFT
• Stephanie Christine Mattox, B.A.
• Andrew Suryanata Mattson, PA-C
• Anne Marie Mattson, OD
• Bethany Mattson, ND

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.