KATHRYN MATTINGLY
NPI 1255788196
Counselor - Professional in Janesville, WI

Active since May 20, 2016PECOS EnrolledAccepts Medicare Assignment
612 N RANDALL AVE, JANESVILLE, WI 53545(608) 725-7660 Get Directions Write a Review

NPPES record last updated: June 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathryn Mattingly NPPES

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

KATHRYN MATTINGLY (NPI 1255788196) is an individual professional provider in Janesville, Wisconsin, licensed in Wisconsin (3056-226) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1255788196
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHRYN MATTINGLY
Location Address612 N RANDALL AVEJanesville, WI 53545-1958
Mailing Address612 N Randall AveJanesville, WI 53545-1958 · (608) 725-7660
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 20, 2016
Last NPPES UpdateJune 8, 2016
NPI 1255788196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 3056-226
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 17772 (WI)
612 N RANDALL AVE, Janesville, WI 53545

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathryn Mattingly is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678914264
PECOS Enrollment IDI20240702002301
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

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

Social Worker (Clinical)
612 N RANDALL AVE
JANESVILLE, WI 53545
Counselor (Addiction (Substance Use Disorder))
612 N RANDALL AVE
JANESVILLE, WI 53545
Counselor (Professional)
612 N RANDALL AVE
JANESVILLE, WI 53545
Counselor (Addiction (Substance Use Disorder))
612 N RANDALL AVE
JANESVILLE, WI 53545
Counselor (Mental Health)
612 N RANDALL AVE, SUITE A
JANESVILLE, WI 53545
Counselor (Mental Health)
612 N RANDALL AVE, SUITE A
JANESVILLE, WI 53545
Clinic/Center (Mental Health (Including Community Mental Health Center))
612 N RANDALL AVE, SUITE A
JANESVILLE, WI 53545
Counselor (Addiction (Substance Use Disorder))
612 N RANDALL AVE, SUITE A
JANESVILLE, WI 53545

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 Kathryn Mattingly's NPI number?

The NPI number for Kathryn Mattingly is 1255788196. It was assigned to this individual provider in the NPPES registry on May 20, 2016.

Where is Kathryn Mattingly located?

Kathryn Mattingly practices at 612 N Randall Ave, Janesville, WI 53545. The listed phone number is (608) 725-7660.

What is Kathryn Mattingly's specialty?

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

Is Kathryn Mattingly enrolled in Medicare?

Yes. Kathryn Mattingly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathryn Mattingly accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, MercyCare Health Plans, Network Health and Quartz and 2 other insurers list Kathryn Mattingly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathryn Mattingly was last updated on June 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.