Individual provider Active NPI

Jessica Mather, GC

  • Genetic Counselor (M.S.)
  • Olympia, WA
National Provider Identifier
1073338851
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
GT61604470 Issued in WA
Practice address
2008 Caton Way SW Ste A2
Olympia, WA 98502-2100
Phone
(360) 485-0115
Fax
(844) 813-3892
NPI assigned
Nov 18, 2024
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X GCP-P-10247795 OR
Genetic Counselor (M.S.) 170300000X GT61604470 WA Primary

Addresses

Primary practice location

2008 Caton Way SW Ste A2
Olympia, WA 98502-2100

Mailing address

2008 Caton Way SW Ste A2
Olympia, WA 98502-2100
Phone (360) 485-0115

Other practice location 1

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-7878

Other practice location 2

505 NE 87th Ave Ste 320
Vancouver, WA 98664-1965
Phone (360) 514-2550

Other practice location 3

3301 Squalicum Pkwy
Bellingham, WA 98225-1919
Phone (360) 788-8222

Other practice location 4

505 NE 87th Ave Ste 160
Vancouver, WA 98664-1965
Phone (360) 514-1060

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
GCP-P-10247795ORMDGenetic Counselor (M.S.)
GT61604470WAMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
Genetics Support Foundation, Inc. Genetic Counselor, Ms PastSince Nov 24, 2024 Accepting new patients
Peacehealth Past Accepting new patients
Peacehealth Past Accepting new patients
Peacehealth PastSince Aug 24, 2015 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1073338851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 CATON WAY SW STE A2",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022100",
            "telephone_number": "360-485-0115",
            "fax_number": "844-813-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 CATON WAY SW STE A2",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022100",
            "telephone_number": "360-485-0115",
            "fax_number": "844-813-3892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-414-7878",
            "fax_number": "360-414-7876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 NE 87th Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986641965",
            "country_code": "US",
            "telephone_number": "360-514-2550",
            "fax_number": "360-514-1927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 Squalicum Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251919",
            "country_code": "US",
            "telephone_number": "360-788-8222",
            "fax_number": "360-788-7759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 NE 87th Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986641965",
            "country_code": "US",
            "telephone_number": "360-514-1060",
            "fax_number": "360-514-1065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHER",
        "first_name": "JESSICA",
        "credential": "GC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "OR",
            "license": "GCP-P-10247795",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "WA",
            "license": "GT61604470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.