Grace N Mattes, APCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APCC12639 Issued in CA

Practice address

4221 Wilshire Blvd Ste 230
Los Angeles, CA 90010-3554

Phone

(213) 505-4307

NPI assigned

Apr 11, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Grace N Heyne Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1902592298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 OLYMPIC BLVD APT 206",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043959",
            "telephone_number": "763-458-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 230",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103554",
            "telephone_number": "213-505-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTES",
        "first_name": "GRACE",
        "middle_name": "N",
        "credential": "APCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC12639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "HEYNE",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lawrence Harry Matt, M.D.
• Lindsey Marie Matt, PHD
• S. Anjani Devi Mattai, MD
• Ralphael Mattei, D.C.
• Mattel Children'S Hospital
• Carolyn Matteson
• Jarrod David Matthei, M.D.
• Jennifer Mary Matthes, LCSW
• Matthew Gloin Chiropractic Corporation
• Matthew Hakimi MD Inc

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.