Active NPI
Mattison Therapeutic Consulting and Counseling
- Mental Health Counselor
- Salt Lake City, UT
National Provider Identifier
1932631116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10186313-6004
- Legal business name
- MATTISON THERAPEUTIC CONSULTING AND COUNSELING
- Practice address
- 667 E Redondo Ave
Salt Lake City, UT 84105-3028 - Phone
- (205) 612-0902
- NPI assigned
- Mar 28, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Claire Mattison, CMHC
- Title
- Owner/Therapist
- Phone
- (205) 612-0902
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10186313-6004 | UT | Primary |
| Community/Behavioral Health Agency | 251S00000X | 10186313-6004 | UT |
Addresses
Primary practice location
667 E Redondo Ave
Salt Lake City, UT 84105-3028
Mailing address
667 E Redondo Ave
Salt Lake City, UT 84105-3028
Phone (205) 612-0902
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490659200000",
"number": "1932631116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "667 E REDONDO AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841053028",
"telephone_number": "205-612-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "667 E REDONDO AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841053028",
"telephone_number": "205-612-0902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTISON THERAPEUTIC CONSULTING AND COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-28",
"last_updated": "2017-03-28",
"status": "A",
"authorized_official_last_name": "MATTISON",
"authorized_official_first_name": "CLAIRE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "205-612-0902",
"authorized_official_credential": "CMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "10186313-6004",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "UT",
"license": "10186313-6004",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.