Ricki Mathis, M.ED, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

281626 Issued in KY

Practice address

3221 Goldtree CT
Louisville, KY 40220-3307

Phone

(502) 296-9467

NPI assigned

Feb 15, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

Practice roles

Locations

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.

• Omni Resource Services Inc Public Health and Wellness Center

  • Health Service Clinic/Center
  • Louisville, KY
  • NPI 1437969300
  Medicare reassignment NPD

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1194264713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 GOLDTREE CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402203307",
            "telephone_number": "502-296-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 GOLDTREE CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402203307",
            "telephone_number": "502-296-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "RICKI",
        "credential": "M.ED, LPCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-15",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "281626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100948220",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030187",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikal Mathies, PT,DPT
• Chad E Mathis, MD
• Charity Mathis
• Katrina Yvette Mathis
• Michael Burgin Mathis, D.M.D.
• Tracy Stevens Mathis, APRN
• Niraj Mathur, OTR/L
• Paridhi Mathur, MD
• Prateek Mathur, MD
• Bobbie Matney

• Mental Health Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.