Individual provider Active NPI

Karissa Rose Mathews, CRM

  • Peer Specialist
  • Gresham, OR
National Provider Identifier
1013874866
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
25-CRM-4938 Issued in OR
Practice address
1217 NE Burnside Rd Ste 701
Gresham, OR 97030-5770
Phone
(503) 740-1971
Fax
(503) 771-2436
NPI assigned
Jan 5, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 25-CRM-4938 OR Primary

Addresses

Primary practice location

1217 NE Burnside Rd Ste 701
Gresham, OR 97030-5770

Mailing address

10117 SE Sunnyside Rd # F1217
Clackamas, OR 97015-7708
Phone (503) 740-1971

Other practice location 1

3939 NE Hancock St Ste 301
Portland, OR 97212-5321
Phone (503) 740-1971

Other practice location 2

9123 SE Saint Helens St Ste 100F
Clackamas, OR 97015-6800
Phone (503) 740-1971

Other practice location 3

470 2nd St Ste D
Lake Oswego, OR 97034-3199
Phone (503) 740-1971

Other practice location 4

14355 N Bybee Lake Ct
Portland, OR 97203-6495
Phone (503) 740-1971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25-CRM-4938ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Chaise Group, LLC PastSince Jan 1, 2012 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1013874866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10117 SE SUNNYSIDE RD # F1217",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157708",
            "telephone_number": "503-740-1971",
            "fax_number": "503-771-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 NE BURNSIDE RD STE 701",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305770",
            "telephone_number": "503-740-1971",
            "fax_number": "503-771-2436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 NE Hancock St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972125321",
            "country_code": "US",
            "telephone_number": "503-740-1971",
            "fax_number": "503-771-2436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9123 SE Saint Helens St Ste 100F",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970156800",
            "country_code": "US",
            "telephone_number": "503-740-1971",
            "fax_number": "503-771-2436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "470 2nd St Ste D",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970343199",
            "country_code": "US",
            "telephone_number": "503-740-1971",
            "fax_number": "503-771-2436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14355 N Bybee Lake Ct",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972036495",
            "country_code": "US",
            "telephone_number": "503-740-1971",
            "fax_number": "503-771-2436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "KARISSA",
        "middle_name": "ROSE",
        "credential": "CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "25-CRM-4938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.