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KATHRYN MATTINGLY
NPI 1255788196
Counselor - Professional in Whitewater, WI

Active since May 20, 2016PECOS Enrolled
PO BOX 5, WHITEWATER, WI 53190(608) 371-9752 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 28, 2026, May 20, 2016 (2 updates tracked since 2016).

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 Whitewater, Wisconsin, licensed in Wisconsin (6863-125) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255788196
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHRYN MATTINGLY
Location AddressPO BOX 5Whitewater, WI 53190-0005
Mailing AddressN8328 Taylor RdWhitewater, WI 53190-3764 · (608) 371-9752
Phone(608) 371-9752
Sole ProprietorNo
Enumeration DateMay 20, 2016
Last NPPES UpdateAugust 28, 20262 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ 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 · 6863-125
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 16367-132 (WI)
PO BOX 5, Whitewater, WI 53190
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Mattingly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kathryn Mattingly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lutheran Social Services Of Wisconsin And Upper Michigan, Inc.
22 mi
Mental Health (Including Community Mental Health Center)
612 N RANDALL AVE, SUITE A
Janesville, WI 53545
  • Reassigned Medicare billing, Wisconsin enrollment
  • 6 clinicians in this Medicare group
NPI 1386719177 (608) 752-7660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 PO Box 5, Whitewater, WI 53190. The listed phone number is (608) 371-9752.

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 enrollment system.

Which organization bills Medicare for Kathryn Mattingly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Mattingly reassigns Medicare benefits to Lutheran Social Services Of Wisconsin And Upper Michigan, Inc. (Janesville, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn Mattingly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Mattingly accept?

Health plans from Anthem Blue Cross and Blue Shield 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 August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.