Individual provider Active NPI

Phyllis J. Mattek, LCSW LADC

  • Addiction (Substance Use Disorder) Counselor
  • Norman, OK
National Provider Identifier
1881615151
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
#50 Issued in OK
Practice address
110 N Mercedes Dr Ste 400
Norman, OK 73069-6468
Phone
(405) 329-1615
Fax
(405) 872-0761
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X #50 OK Primary
Clinical Social Worker 1041C0700X #1515 OK

Addresses

Primary practice location

110 N Mercedes Dr Ste 400
Norman, OK 73069-6468

Mailing address

110 N Mercedes Dr Ste 400
Norman, OK 73069-6468
Phone (405) 329-1615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
#50OKMDAddiction (Substance Use Disorder) Counselor
#1515OKMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1881615151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N MERCEDES DR STE 400",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696468",
            "telephone_number": "405-329-1615",
            "fax_number": "405-872-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N MERCEDES DR STE 400",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696468",
            "telephone_number": "405-329-1615",
            "fax_number": "405-872-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTEK",
        "first_name": "PHYLLIS",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LCSW LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "#50",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "#1515",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.