MR. BRAD TODD MATTINGLY MA, LISAC, CDVC
NPI 1386994564
Counselor - Addiction (Substance Use Disorder) in Flagstaff, AZ

Q: What is Brad Mattingly's NPI number?

The NPI number for Brad Mattingly is 1386994564. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Q: What is Brad Mattingly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Brad Mattingly was last updated on November 7, 2023. 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.

Active since September 14, 2012

1750 S WOODLANDS VILLAGE BLVD STE 135, FLAGSTAFF, AZ 86001(602) 685-6000(928) 679-2181 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Brad Todd Mattingly Ma, Lisac, Cdvc NPPES

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

MR. BRAD TODD MATTINGLY MA, LISAC, CDVC (NPI 1386994564) is an individual addiction (substance use disorder) provider in Flagstaff, Arizona, licensed in Arizona (LISAC1135) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1386994564

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. BRAD TODD MATTINGLYCredential: MA, LISAC, CDVC

Location Address1750 S WOODLANDS VILLAGE BLVD STE 135Flagstaff, AZ 86001-2699

Mailing Address3003 N Central Ave Ste 400Phoenix, AZ 85012-2929 · (602) 685-6000 · Fax (928) 679-2199

Phone(602) 685-6000

Fax(928) 679-2181

Sole ProprietorNo

Enumeration DateSeptember 14, 2012

Last NPPES UpdateNovember 7, 2023

NPPES CertifiedNovember 7, 2023

✔ NPI 1386994564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in AZ · LISAC1135

1750 S WOODLANDS VILLAGE BLVD STE 135, Flagstaff, AZ 86001

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES

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

TERROS, INC

Clinic/Center (Mental Health (Including Community Mental Health Center))

1750 S WOODLANDS VILLAGE BLVD STE 135
FLAGSTAFF, AZ 86001

Coconino County (602) 685-6000

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 Brad Mattingly's NPI number?

The NPI number for Brad Mattingly is 1386994564. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Brad Mattingly located?

Brad Mattingly practices at 1750 S Woodlands Village Blvd Ste 135, Flagstaff, AZ 86001. The listed phone number is (602) 685-6000.

What is Brad Mattingly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Brad Mattingly accept?

Health plans from Oscar Health Plan, Inc. list Brad 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 Brad Mattingly was last updated on November 7, 2023. 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.