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Active NPI 1215400155 Individual Practitioner Female Practitioner

Lora Lee Mattox , CPC

Peer Specialist • Centralia, WA

Professional Overview & Biography Verified Profile Summary

Lora Mattox, CPC is a registered healthcare professional specializing in Peer Specialist in Centralia, WA. Practice services are available at 1723 KRESKY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1723 Kresky Ave

Centralia, WA 985318985

Telephone 3605596201
Fax 3608074429
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Centralia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
65 Specialists

Practicing in Centralia, WA (2660 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA CG60864636

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Michelle Griffin

Specialist/Technologist, Health Information

NPI 1114490166
Ashley Broussard

Counselor - Addiction (Substance Use Disorder)

NPI 1376078246
Tonja Vernon , CDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1700359411
Cyndi Labrec

Counselor

NPI 1730652710

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2019

Registered at 1723 KRESKY AVE, CENTRALIA, WA 985318985 (Tel: 3605596201)

📍
Updated Business Mailing Address January 03, 2019

Registered at 1723 KRESKY AVE, CENTRALIA, WA 985318985 (Tel: 3605596201)

👤
Provider Name / Credentials Updated January 03, 2019

Recorded as LORA MATTOX, CPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2019

Peer Specialist (License #CG60864636 in WA)

🟢
Initial NPI Registration & Enumeration January 03, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215400155
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2019
Last Update: January 03, 2019
Sole Proprietor: No

Mailing Address

1723 Kresky Ave

Centralia, WA 985318985

Phone: 3605596201

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.