MS. CARLENE MATTIMORE M.S., L.C. P.C.
NPI 1063562361
Counselor - Professional in Springfield, IL

Active since January 11, 2007
1711 S 5TH ST, SPRINGFIELD, IL 62703(217) 788-5244(217) 788-1650 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Carlene Mattimore M.s., L.c. P.c. NPPES

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

MS. CARLENE MATTIMORE M.S., L.C. P.C. (NPI 1063562361) is an individual professional provider in Springfield, Illinois and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1063562361
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. CARLENE MATTIMORECredential: M.S., L.C. P.C.
Location Address1711 S 5TH STSpringfield, IL 62703-3116
Mailing Address1711 S 5th StSpringfield, IL 62703-3116 · (217) 788-5244 · Fax (217) 788-1650
Fax(217) 788-1650
Sole ProprietorYes
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1063562361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1711 S 5TH ST, Springfield, IL 62703

Other Names 1

Professional Name (2)Ms. Carley Mattimore M.s., L.c.p.c.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1711 S 5TH ST
SPRINGFIELD, IL 62703
Counselor (Mental Health)
1711 S 5TH ST
SPRINGFIELD, IL 62703
Counselor (Professional)
1711 S 5TH ST
SPRINGFIELD, IL 62703
Counselor (Mental Health)
1711 S 5TH ST
SPRINGFIELD, IL 62703

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 Carlene Mattimore's NPI number?

The NPI number for Carlene Mattimore is 1063562361. It was assigned to this individual provider in the NPPES registry on January 11, 2007. The provider is also known as Ms. Carley Mattimore M.S., L.C.P.C..

Where is Carlene Mattimore located?

Carlene Mattimore practices at 1711 S 5th St, Springfield, IL 62703. The listed phone number is (217) 788-5244.

What is Carlene Mattimore'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 Carlene Mattimore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.