Charlee Sue Mattingly, B.A, QMHP

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

805 Liberty St NE Ste 2
Salem, OR 97301-2463

Phone

(503) 589-3112

NPI assigned

Feb 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1831845478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 LIBERTY ST NE STE 2",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012463",
            "telephone_number": "503-589-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 LIBERTY ST NE STE 2",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012463",
            "telephone_number": "503-589-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "CHARLEE",
        "middle_name": "SUE",
        "name_prefix": "Miss",
        "credential": "B.A, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charlee@empoweringchoicescc.com",
            "affiliation": "Y",
            "affiliationName": "Empowering Choices Counseling & Consultation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "805 Liberty St NE",
            "address_2": "Suite 2",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973012451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew W Knecht LLC
• Beverly Ann Matthews-Brylski, MD
• Michael Jackson Matthews, DPM
• Paige Matthews
• Tiffany Matthews, LMT
• Alina Mattison, FNP
• Gennaya Lynn Mattison, M.D.
• Edward Mattson, PHARM. D.
• Teena Matuska, PTA
• Daniel Wayne Maurer Jr.

• Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.