Active NPI
Jessica Mather, GC
- Genetic Counselor (M.S.)
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- GT61604470
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| GCP-P-10247795 | OR | MD | Genetic Counselor (M.S.) |
| GT61604470 | WA | MD | Genetic Counselor (M.S.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genetics Support Foundation, Inc. | Genetic Counselor, Ms | Past | Accepting new patients |
| Peacehealth | Past | Accepting new patients | |
| Peacehealth | Past | Accepting new patients | |
| Peacehealth | Past | 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.
-
dba Genetic Support Foundation
- Genetic Counselor (M.S.)
- Olympia, WA
- NPI 1023475845
Genetic Counselor, Ms
-
dba St. John Medical Center - Outpatient Therapy
- Physical Therapist
- Longview, WA
- NPI 1275501538
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.