Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RYAN KEITH MATTOCKS LPC
NPI 1124934955
Counselor - Professional in Salem, VA

Q: What is Ryan Mattocks's NPI number?

The NPI number for Ryan Mattocks is 1124934955. It was assigned to this individual provider in the NPPES registry on August 21, 2026.

Q: What is Ryan Mattocks's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Mattocks was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.

Active since August 21, 2026

1390 SOUTHSIDE DR STE 106, SALEM, VA 24153(843) 817-1090 Get Directions Write a Review

NPPES record added: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ryan Keith Mattocks Lpc NPPES

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

RYAN KEITH MATTOCKS LPC (NPI 1124934955) is an individual professional provider in Salem, Virginia, licensed in Virginia (0701016387) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1124934955

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameRYAN KEITH MATTOCKSCredential: LPC

Location Address1390 SOUTHSIDE DR STE 106Salem, VA 24153-4684

Mailing Address1390 Southside Dr Ste 106Salem, VA 24153-4684

Phone(843) 817-1090

Sole ProprietorYes

Enumeration DateAugust 21, 2026

NPPES CertifiedAugust 21, 2026

✔ NPI 1124934955 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 VA · 0701016387

1390 SOUTHSIDE DR STE 106, Salem, VA 24153

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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 Ryan Mattocks's NPI number?

The NPI number for Ryan Mattocks is 1124934955. It was assigned to this individual provider in the NPPES registry on August 21, 2026.

Where is Ryan Mattocks located?

Ryan Mattocks practices at 1390 Southside Dr Ste 106, Salem, VA 24153. The listed phone number is (843) 817-1090.

What is Ryan Mattocks'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 Ryan Mattocks was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.