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MATTLYN NICOLE EDGECOMBE MA LLPC
NPI 1174271092
Counselor in Algonquin, IL

Active since March 10, 2022
1190 E ALGONQUIN RD, ALGONQUIN, IL 60102(224) 357-0540 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 5, 2024, Aug 3, 2022, Mar 10, 2022 (3 updates tracked since 2022).

About Mattlyn Nicole Edgecombe Ma Llpc NPPES

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

MATTLYN NICOLE EDGECOMBE MA LLPC (NPI 1174271092) is an individual counselor in Algonquin, Illinois, licensed in Illinois (178.019845) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1174271092
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMATTLYN NICOLE EDGECOMBECredential: MA LLPC
Location Address1190 E ALGONQUIN RDAlgonquin, IL 60102-3084
Mailing Address1190 E Algonquin RdAlgonquin, IL 60102-3084 · (224) 357-0540
Phone(224) 357-0540
Sole ProprietorNo
Enumeration DateMarch 10, 2022
Last NPPES UpdateFebruary 5, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1174271092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 178.019845
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1190 E ALGONQUIN RD, Algonquin, IL 60102
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Other Names 1

Former Name (1)Mattlyn Nicole Lopez

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.

CATHERINE MARIE CHRISTOPHER
Counselor (Mental Health)
1190 E ALGONQUIN RD
ALGONQUIN, IL 60102
McHenry County (224) 357-0540
MATTHEW F AGUILAR
Counselor (Mental Health)
1190 E ALGONQUIN RD
ALGONQUIN, IL 60102
McHenry County (224) 357-0540
DEBORAH JOY NAZARETH
Counselor (Pastoral)
1190 E ALGONQUIN RD
ALGONQUIN, IL 60102
McHenry County (224) 357-0540
PAMELA ROESSLER MA
Counselor
1190 E ALGONQUIN RD
ALGONQUIN, IL 60102
McHenry County (847) 363-0632

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 Mattlyn Edgecombe's NPI number?

The NPI number for Mattlyn Edgecombe is 1174271092. It was assigned to this individual provider in the NPPES registry on March 10, 2022. The provider is also known as Mattlyn Nicole Lopez.

Where is Mattlyn Edgecombe located?

Mattlyn Edgecombe practices at 1190 E Algonquin Rd, Algonquin, IL 60102. The listed phone number is (224) 357-0540.

What is Mattlyn Edgecombe's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Mattlyn Edgecombe was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.