| Christy Matteson MS, LPC LLC | |
|
355004 E 750 Rd Cushing OK 74023-5269 | |
| (918) 223-6796 | |
| Not Available |
| Full Name | Christy Matteson MS, LPC LLC |
|---|---|
| Speciality | Counselor |
| Location | 355004 E 750 Rd, Cushing, Oklahoma |
| Authorized Official Name and Position | Christy Matteson (COUNSELOR) |
| Authorized Official Contact | 9182236796 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christy Matteson MS, LPC LLC 355004 E 750 Rd Cushing OK 74023-5269 | Christy Matteson MS, LPC LLC 355004 E 750 Rd Cushing OK 74023-5269 Ph: (918) 223-6796 |
| NPI Number | 1225986409 |
|---|---|
| Provider Enumeration Date | 03/21/2026 |
| Last Update Date | 03/21/2026 |
| Certification Date | 03/21/2026 |
| Medicare PECOS PAC ID | 3072088566 |
|---|---|
| Medicare Enrollment ID | O20260413001842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225986409 | NPI | - | NPPES |
| 1154691509 | Other | OK | INDIVIDUAL |
| 200409240 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (NU) | Primary |
| Provider Name | Christy Matteson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154691509 PECOS PAC ID: 7517274863 Enrollment ID: I20260413003157 |
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