WILLIAM MATTINGLY
NPI 1407352115
Counselor - Professional in Kirkwood, MO

Active since April 02, 2018PECOS Enrolled
12166 OLD BIG BEND RD STE 204, KIRKWOOD, MO 63122(314) 822-8888 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William Mattingly NPPES

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

WILLIAM MATTINGLY (NPI 1407352115) is an individual professional provider in Kirkwood, Missouri, licensed in Missouri (2017041348) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1407352115
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameWILLIAM MATTINGLY
Location Address12166 OLD BIG BEND RD STE 204Kirkwood, MO 63122-6836
Mailing Address12166 Old Big Bend Rd Ste 204Kirkwood, MO 63122-6836 · (314) 822-8888
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 2, 2018
Last NPPES UpdateFebruary 21, 2022
NPPES CertifiedFebruary 21, 2022
NPI 1407352115 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 MO · 2017041348
12166 OLD BIG BEND RD STE 204, Kirkwood, MO 63122

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 (PECOS)

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

PECOS PAC ID4183196157
PECOS Enrollment IDI20260611000590
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 10

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

Social Worker (Clinical)
12166 OLD BIG BEND RD STE 204
KIRKWOOD, MO 63122
Counselor (Professional)
12166 OLD BIG BEND RD STE 204
SAINT LOUIS, MO 63122
Counselor (Mental Health)
12166 OLD BIG BEND RD STE 204
KIRKWOOD, MO 63122
Counselor (Professional)
12166 OLD BIG BEND RD STE 204
SAINT LOUIS, MO 63122
Social Worker
12166 OLD BIG BEND RD STE 204
KIRKWOOD, MO 63122
Counselor (Professional)
12166 OLD BIG BEND RD STE 204
SAINT LOUIS, MO 63122
Counselor (Professional)
12166 OLD BIG BEND RD STE 204
KIRKWOOD, MO 63122
Counselor (Professional)
12166 OLD BIG BEND RD STE 204
KIRKWOOD, MO 63122

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 William Mattingly's NPI number?

The NPI number for William Mattingly is 1407352115. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is William Mattingly located?

William Mattingly practices at 12166 Old Big Bend Rd Ste 204, Kirkwood, MO 63122. The listed phone number is (314) 822-8888.

What is William Mattingly's specialty?

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

Is William Mattingly enrolled in Medicare?

Yes. William Mattingly is registered in the Medicare PECOS enrollment system.

What insurance does William Mattingly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list William 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 William Mattingly was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.