IndividualActive
Samuel Mattingly
NPI 1699133488 · Mental Health Counselor · Fairview, OR
Samuel Mattingly is a Mental Health Counselor provider in Fairview, OR (NPI 1699133488).
Provider details
- NPI number
- 1699133488
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1945 Ne 205th Ave
Fairview, OR 97024-9622
Phone: (503) 661-8050
Fax: (503) 492-4651
Street-level locationGet directions
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Registry dates
- Enumerated
- 2016-02-08
- Last updated
- 2016-02-08
Frequently asked questions
- What is Samuel Mattingly's NPI number?
- Samuel Mattingly's National Provider Identifier (NPI) is 1699133488, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Mattingly's specialty?
- Samuel Mattingly is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Samuel Mattingly located?
- Samuel Mattingly's practice location on file with NPPES is 1945 Ne 205th Ave, Fairview, OR 97024-9622.
- What is Samuel Mattingly's phone number?
- The practice phone number listed in the NPPES registry for Samuel Mattingly is (503) 661-8050.
- Is Samuel Mattingly's NPI active?
- Yes — Samuel Mattingly's NPI (1699133488) is active in the NPPES registry as of the last update on 2016-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.