Doris R. Mathew, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39004541A Issued in IN

Practice address

401 W Bristol St
Elkhart, IN 46514-3019

Phone

(574) 402-1400

NPI assigned

Feb 10, 2020

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

Opted out of Medicare

Yes, effective Jan 12, 2024 through Jan 12, 2028

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 and National Provider Directory roles.

• Firm Foundation Counseling LLC

  • Mental Health Counselor
  • Elkhart, IN
  • NPI 1073239406

  Mental Health

  NPD
• Cornerstone Family Therapy

  • Mental Health Counselor
  • Osceola, IN
  • NPI 1346791688

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1639701436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465143019",
            "telephone_number": "574-402-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465143019",
            "telephone_number": "574-402-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "DORIS",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004541A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allis I. Martz, COTA
• Jocelyn Nichelle Marzini
• Andrew M Mashala, OTR/L
• Andrew Mast
• Ryan D. Matherly, M.D.
• Charles A Mathis, MD
• Joshua Matthews, RBT
• James P Mauck Jr., MD
• Jason Elliott Maxwell, DDS
• Meredith Alcinda Mayfield, PA-C

• All providers in Elkhart, IN
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.