Organization Active NPI

Mattison Therapeutic Consulting and Counseling

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1932631116
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10186313-6004 Issued in UT
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

Updated by the provider on Mar 28, 2017

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.