Individual provider Active NPI

Mary Jean Ney-Mathews, LCSW

  • Mental Health Counselor
  • Moss Point, MS
National Provider Identifier
1265591028
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C6529 Issued in MS
Practice address
4836 Main St
Moss Point, MS 39563-2700
Phone
(228) 363-8899
NPI assigned
Dec 7, 2006
Last updated
Jan 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C6529 MS Primary
Mental Health Counselor 101YM0800X 2370C AL
Mental Health Counselor 101YM0800X CPO3943775 WV

Addresses

Primary practice location

4836 Main St
Moss Point, MS 39563-2700

Mailing address

PO Box 5
Ocean Springs, MS 39566-0005
Phone (228) 623-8994

Other names 1

  • Ms. Mary Jean Ney-Mathews Professional name

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
2370CALMDMental Health Counselor
C6529MSMDMental Health Counselor
CPO3943775WVMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1265591028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395660005",
            "telephone_number": "228-623-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4836 MAIN ST",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395632700",
            "telephone_number": "228-363-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEY-MATHEWS",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "C6529",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "2370C",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "CPO3943775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "NEY-MATHEWS",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Moss Point, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.