STEPHEN J MATTERN MA LCPC
NPI 1689777260
Counselor in Peoria, IL
- Individual
- Male
- Counselor
About STEPHEN MATTERN
This page provides the complete NPI Profile along with additional information for Stephen Mattern, a provider established in Peoria, Illinois with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1689777260 assigned on September 2006. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1689777260 Verify this NPI
- Provider Name
- STEPHEN J MATTERN MA LCPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6615 N BIG HOLLOW RD PEORIA, IL 61615
- Location Phone
- (309) 692-6622
- Location Fax
- (309) 692-6952
- Mailing Address
- 6615 N BIG HOLLOW RD PEORIA, IL 61615
- Mailing Phone
- (309) 692-6622
- Mailing Fax
- (309) 692-6952
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-07-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License State
- IL
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PEORIA, IL 61615
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689777260, enumerated as an "individual" on September 07, 2006.
The provider is located at 6615 N BIG HOLLOW RD PEORIA, IL 61615 and the phone number is (309) 692-6622.
Counselor with taxonomy code 101Y00000X.
