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

Mr. Matthew Lawrence Mongillo, BA, AA, MHRS, RE

Individual provider Mental Health Counselor · NPI 1609949734

Mr. Matthew Lawrence Mongillo, BA, AA, MHRS, RE is a Mental Health Counselor in San Jose, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

232 E Gish Rd
San Jose, CA 95112-4706
Phone: (669) 221-0148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1609949734
Entity typeIndividual (Type 1)
GenderMale
Credentials BA , AA , MHRS , RE
Sole proprietorNo
NPI enumeratedNovember 16, 2006
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

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