Kristen Mathies

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CDCA.176333 Issued in OH

Practice address

3975 Kenneth Dr
Rootstown, OH 44272-9252

Phone

(330) 850-5141

NPI assigned

Apr 5, 2021

Last updated

Apr 5, 2021By the provider in NPPES

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope Village LLC

  • Substance Abuse Rehabilitation Facility
  • Rootstown, OH
  • NPI 1063909612
  NPD
• Hope Village LLC

  • Community/Behavioral Health Agency
  • Rootstown, OH
  • NPI 1316505019
  NPD (past)

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1629657028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9317 WINDING CREEK DR",
            "city": "DIAMOND",
            "state": "OH",
            "postal_code": "444128742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 KENNETH DR",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729252",
            "telephone_number": "330-850-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIES",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "CDCA.176333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Ning Liang
• Omar Mallat, MD
• Laura Mann, SWA, CDCA
• Ethan Mardovin
• Kelly Marie Marsh, APRN-CNP
• Michael McGrath
• Ashley Marie Miller, ARPN-FNP-C
• Joshua Mink
• Hayat Abdu Mohammed
• Jonathan Joseph Montes

• Case Manager/Care Coordinator in Rootstown, OH
• Providers in Rootstown, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.