Individual provider Active NPI

Matilda Alvarado, LMHC

  • Mental Health Counselor
  • Ottumwa, IA
National Provider Identifier
1902980964
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00877 Issued in IA
Practice address
312 E Alta Vista Ave
Behavioral Health Counseling Services
Ottumwa, IA 52501-1413
Phone
(641) 684-3138
Fax
(641) 684-3198
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00877 IA Primary

Addresses

Primary practice location

312 E Alta Vista Ave
Behavioral Health Counseling Services
Ottumwa, IA 52501-1413

Mailing address

312 E Alta Vista Ave
Behavioral Health Counseling Services
Ottumwa, IA 52501-1413
Phone (641) 684-3138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ottumwa Regional Health Center Inc Past Accepting new patients

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1902980964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E ALTA VISTA AVE",
            "address_2": "BEHAVIORAL HEALTH COUNSELING SERVICES",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011413",
            "telephone_number": "641-684-3138",
            "fax_number": "641-684-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E ALTA VISTA AVE",
            "address_2": "BEHAVIORAL HEALTH COUNSELING SERVICES",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011413",
            "telephone_number": "641-684-3138",
            "fax_number": "641-684-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "MATILDA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.