Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathryn Mattingly

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1255788196

Kathryn Mattingly is a Mental Health Counselor in Janesville, Wisconsin. Qualified in 2016, 10 years ago. Practices with Lutheran Social Services of Wisconsin and Upper Michigan Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

612 N Randall Ave
Janesville, WI 53545-1958
Phone: (608) 725-7660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3056-226 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 17772 (WI)

Record details

NPI number1255788196
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2016
Last updated in NPPESJune 8, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lutheran Social Services Of Wisconsin And Upper Michigan Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Janesville