DR. JASON FORREST MATHERS PH.D. LPC NPI 1205914173

NPI Information

  • NPI: 1205914173
  • Provider Name: DR. JASON FORREST MATHERS, PH.D., LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 119 CLARKSON EXECUTIVE PARK
    ELLISVILLE, MO
    ZIP 63011
  • Phone: (636) 256-0600

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NPI Details

DR. Jason Forrest Mathers, PH.D., LPC is a mental health counselor in Ellisville, MO. DR. Jason Forrest Mathers, PH.D., LPC NPI is 1205914173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

119 CLARKSON EXECUTIVE PARK
ELLISVILLE, MO
ZIP 63011-176
Phone: (636) 256-0600
Fax: (636) 256-0626

The enumeration date for this NPI number is 11/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health2001014823MISSOURIYes
2103T00000XPsychologist2006036655MISSOURIX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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