Active NPI
Katherine Margaret Mattea, LMFT
- Marriage & Family Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 156268
- Practice address
- 4540 Kearny Villa Rd Ste 103
San Diego, CA 92123-1564 - Phone
- (858) 279-1223
- NPI assigned
- Aug 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 156268 | CA | Primary |
| Counselor | 101Y00000X | |||
| Marriage & Family Therapist | 106H00000X | 136811 | CA |
Addresses
Primary practice location
4540 Kearny Villa Rd Ste 103
San Diego, CA 92123-1564
Mailing address
4540 Kearny Villa Rd Ste 103
San Diego, CA 92123-1564
Phone (858) 279-1223
Other practice location 1
865 Third Ave Ste 112
Chula Vista, CA 91911-1300
Phone (619) 271-7992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4540 Kearny Villa Rd
Suite 103
San Diego, CA 92123-1564
Phone (858) 279-1223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136811 | CA | MD | Marriage & Family Therapist |
| 156268 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Coast Psychiatric Associates Inc | Current | Accepting new patients |
Locations
8881 Fletcher Pkwy
Ste 350
La Mesa, CA 91942
Phone (619) 465-9792
4540 Kearny Villa Rd
Ste 103
San Diego, CA 92123
Phone (858) 259-1223
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1841965290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4540 KEARNY VILLA RD STE 103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231564",
"telephone_number": "858-279-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4540 KEARNY VILLA RD STE 103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231564",
"telephone_number": "858-279-1223"
}
],
"practiceLocations": [
{
"address_1": "865 Third Ave Ste 112",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919111300",
"country_code": "US",
"telephone_number": "619-271-7992",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTEA",
"first_name": "KATHERINE",
"middle_name": "MARGARET",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-09",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "156268",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "136811",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.