Kristal Mathis, MA MFT CMHS MHP

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

RC 00058674 Issued in WA

Practice address

203 SE Park Plaza Dr
Vancouver, WA 98684-5886

Phone

(360) 798-2058

NPI assigned

May 14, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1326366394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871183",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986871183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 SE PARK PLAZA DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845886",
            "telephone_number": "360-798-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "KRISTAL",
        "credential": "MA MFT CMHS MHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "RC 00058674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Matheson
• Pauline Bain Matheson, LICSW
• Dana Mathias, P.T.
• Joseph D Mathias
• Kimberly Mathis, LMHC
• Shawn Mathis, RC
• Aleydis Matiaz
• Dora E. Matos
• Jessica Matous
• Steven Matous, MD

• Marriage & Family Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.