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HOLLY ANNE MATTINGLY LCPC
NPI 1053631663
Counselor - Professional in Lisle, IL

Active since June 04, 2010
4605 LAKE TRAIL DR APT 2B, LISLE, IL 60532(630) 707-1799 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2021, Feb 3, 2016 (2 updates tracked since 2016).

About Holly Anne Mattingly Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY ANNE MATTINGLY LCPC (NPI 1053631663) is an individual professional provider in Lisle, Illinois, licensed in Illinois (180.009307) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1053631663
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameHOLLY ANNE MATTINGLYCredential: LCPC
Location Address4605 LAKE TRAIL DR APT 2BLisle, IL 60532-1412
Mailing Address4605 Lake Trail Dr Apt 2bLisle, IL 60532-1412 · (630) 707-1799
Phone(630) 707-1799
Sole ProprietorNo
Enumeration DateJune 4, 2010
Last NPPES UpdateJune 2, 20212 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
✔ NPI 1053631663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.009307
4605 LAKE TRAIL DR APT 2B, Lisle, IL 60532
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Mattingly's NPI number?

The NPI number for Holly Mattingly is 1053631663. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Where is Holly Mattingly located?

Holly Mattingly practices at 4605 Lake Trail Dr Apt 2B, Lisle, IL 60532. The listed phone number is (630) 707-1799.

What is Holly Mattingly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Holly Mattingly was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.