KATHRYN MATTINGLY NPI 1255788196

NPI Information

  • NPI: 1255788196
  • Provider Name: KATHRYN MATTINGLY
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 612 N RANDALL AVE
    JANESVILLE, WI
    ZIP 53545
  • Phone: (608) 725-7660

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NPI Details

Kathryn Mattingly is a professional counselor in Janesville, WI. Kathryn Mattingly NPI is 1255788196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

612 N RANDALL AVE
JANESVILLE, WI
ZIP 53545-958
Phone: (608) 725-7660

The NPI 1255788196 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/20/2016 and was last updated on 6/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)17772WISCONSINNo
2101YP2500XCounselorProfessional3056-226WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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