Individual provider Active NPI

Catherine Mathon, MBA MA, LPC

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1548773542
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0014123 Issued in CO
Practice address
1480 Lee Hill Rd Unit 7
Boulder, CO 80304-0872
Phone
(720) 507-6725
Fax
(720) 745-4786
NPI assigned
Nov 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC.0014123 CO
Professional Counselor 101YP2500X LPC.0014123 CO
Mental Health Counselor 101YM0800X LPC.0014123 CO Primary

Addresses

Primary practice location

1480 Lee Hill Rd Unit 7
Boulder, CO 80304-0872

Mailing address

916 Arapahoe Cir
Louisville, CO 80027-1086
Phone (130) 360-1755

Other practice location 1

8778 Arapahoe Rd
Boulder, CO 80303-1677
Phone (720) 507-6725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 14, 2024 through Feb 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts, Master of Business Administration

State licenses

LicenseStateTypeSpecialty
LPC.0014123COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Opal Counseling Center, LLC Counselor Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548773542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 ARAPAHOE CIR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271086",
            "telephone_number": "130-360-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 LEE HILL RD UNIT 7",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040872",
            "telephone_number": "720-507-6725",
            "fax_number": "720-745-4786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8778 Arapahoe Rd",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803031677",
            "country_code": "US",
            "telephone_number": "720-507-6725",
            "fax_number": "720-745-4786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHON",
        "first_name": "CATHERINE",
        "credential": "MBA MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0014123",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014123",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0014123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.