1. Home
  2. Directory
  3. Minnesota
  4. Mahtomedi
  5. Counselor
  6. NPI Profile

KAITLYN MATTESON MA, LADC
NPI 1699597351
Counselor in Mahtomedi, MN

Active since October 24, 2024
1614 MAHTOMEDI AVE, MAHTOMEDI, MN 55115(612) 662-3989(612) 500-4852 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaitlyn Matteson Ma, Ladc NPPES

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

KAITLYN MATTESON MA, LADC (NPI 1699597351) is an individual counselor in Mahtomedi, Minnesota and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1699597351
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKAITLYN MATTESONCredential: MA, LADC
Location Address1614 MAHTOMEDI AVEMahtomedi, MN 55115-1909
Mailing Address3100 Glen Oaks AveWhite Bear Lake, MN 55110-5698 · (651) 675-8151
Phone(612) 662-3989
Fax(612) 500-4852
Sole ProprietorNo
Enumeration DateOctober 24, 2024
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1699597351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
1614 MAHTOMEDI AVE, Mahtomedi, MN 55115
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

GOLDEN ROOTS THERAPY, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1614 MAHTOMEDI AVE
MAHTOMEDI, MN 55115
Washington County (612) 662-3989

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 Kaitlyn Matteson's NPI number?

The NPI number for Kaitlyn Matteson is 1699597351. It was assigned to this individual provider in the NPPES registry on October 24, 2024.

Where is Kaitlyn Matteson located?

Kaitlyn Matteson practices at 1614 Mahtomedi Ave, Mahtomedi, MN 55115. The listed phone number is (612) 662-3989.

What is Kaitlyn Matteson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kaitlyn Matteson was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.