Nicholas Ian Mathis, ACMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

280269-6009 Issued in UT

Practice address

327 W Gordon Ave Ste 1
Layton, UT 84041-2381

Phone

(801) 683-1062

NPI assigned

Apr 3, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Neurobehavioral Center for Growth LLC

  • Psychologist
  • Bountiful, UT
  • NPI 1942641931
  NPD (past)

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1508362195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 HENDERSON DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844045131",
            "telephone_number": "801-739-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 W GORDON AVE STE 1",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412381",
            "telephone_number": "801-683-1062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Medical Dr Ste D101",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840108905",
            "country_code": "US",
            "telephone_number": "801-683-1062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "NICHOLAS",
        "middle_name": "IAN",
        "name_prefix": "Mr.",
        "credential": "ACMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "280269-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Alan Mason, LPC CMHC
• Sabrina Mastin-Hill
• Avery Mellisah Matheson
• Jamie Catherine Mathews, MSN, RN, APRN, PMHNP
• Janet Lundberg Mathie
• Holly Mathusek
• Sarah Ellen Matthews, MSW
• Brian Mattsson, PA-C
• Stephanie Wynne Maurent, PHARMD
• Christina Maurer

• Mental Health Counselor in Layton, UT
• Providers in Layton, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.