Macmathan LC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MACMATHAN LC

Practice address

12067 S Draper Crest LN Unit 11
Draper, UT 84020-5218

Phone

(801) 707-9265

NPI assigned

Feb 29, 2024

Organization subpart

No

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

Authorized official

Name

David Alexander Matheson, CMHCNPI 1003136078

Title

Owner

Phone

(801) 707-9265

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Alexander Matheson, CMHC

  • Professional Counselor
  • Draper, UT
  • NPI 1003136078
  NPD Authorized official

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1659138261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12067 S DRAPER CREST LN UNIT 11",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205218",
            "telephone_number": "801-707-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12067 S DRAPER CREST LN UNIT 11",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205218",
            "telephone_number": "801-707-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACMATHAN LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "MATHESON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-707-9265",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Mackay, OD
• Shad B Mackert, D.D.S.
• Jordan Mackey, FNP, APRN
• Richard Brian Mackey, MD
• Lauren Mackie
• Austin Skylor Maddox
• Alyssa Madsen
• Lydia Madsen
• Morgan Madsen
• Isis Mahallati, CSW

• Adult Mental Health Clinic/Center in Draper, UT
• Providers in Draper, UT by specialty
• Adult Mental Health Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.