MRS. SUSIE MATTOS


Address: 4170 Redding St, Oakland, CA 94619-1920
Phone: 4153945247

MRS. SUSIE MATTOS (NPI# 1316140676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316140676
Entity Type Individual
Full Name MRS. SUSIE MATTOS
Practice Address 4170 Redding St
Oakland
CA 94619-1920
Practice Telephone 4153945247
Enumeration Date 2007-06-06
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 4170 REDDING ST
City OAKLAND
State CA
Zip Code 94619-1920

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1922395797 Lawrence W Bryer Psychiatry & Neurology 5131 Parkridge Dr, Oakland, CA 94619 2011-06-30
1255403168 Michelle Denise Hooker Social Worker 2369 84th Avenue, Oakland, CA 94619 2006-11-15
1447338512 William H. Birdsong Iv Emergency Medicine 661 Via Rialto, Oakland, CA 94619 2006-11-02
1861570814 Zell Nathanson Speech-Language Pathologist 5424 Fernhoff Rd, Oakland, CA 94619 2006-11-01
1902439623 Miranda Claggette Counselor 3906 Loma Vista Ave, Oakland, CA 94619 2020-02-20
1518443282 Gabriela Ivanna Vargas Counselor 3695 High St, Oakland, CA 94619 2018-07-16
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy 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.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760099832 Marlena Sara Hartman-filson Counselor 422 38th St Apt A, Oakland, CA 94609-2778 2020-09-23
1801412689 Lindsey Schwartz Counselor 7200 Bancroft Ave, Building B, Ste 133, Oakland, CA 94605-2480 2020-06-17
1013538487 Alex Weinstein Counselor 4264 Norton Ave, Oakland, CA 94602-4018 2020-04-27
1700418001 Thera Share Counselor 1714 Franklin St #411, Oakland, CA 94612 2020-02-05
1992342810 Zoe Karanfilian Counselor 62 Vancleave Way, Oakland, CA 94619-2340 2019-12-10
1881154763 Cia A Robles Counselor 3798 Grand Ave Ste 1, Oakland, CA 94610-1527 2019-03-25
1568927994 Lynsey Scott Counselor Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 2019-02-11
1013489954 Jasmine J Rutherford Counselor 3301 E 12th St Ste 116, Oakland, CA 94601-3424 2018-12-17
1366910549 Raven Porter Counselor 2747 76th Ave, Oakland, CA 94605-2809 2018-11-06
1801363288 Shane Smith Counselor 10401 Shaw St, Oakland, CA 94605-5116 2018-10-24
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Competitor

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City OAKLAND
Zip Code 94619

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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