Maryann William Mathai, LMHC, LPCC, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39004439A Issued in IN

Practice address

11 Municipal Drive
Suite 200, PMB 1059
Fishers, IN 46038

Phone

(216) 200-6195

NPI assigned

Sep 15, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1659890168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MUNICIPAL DRIVE",
            "address_2": "SUITE 200, PMB 1059",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "46038",
            "telephone_number": "216-200-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MUNICIPAL DRIVE",
            "address_2": "SUITE 200, PMB 1059",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "46038",
            "telephone_number": "216-200-6195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Gorge Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443102408",
            "country_code": "US",
            "telephone_number": "216-200-6195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Kennedy Ave Unit 1132",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068105774",
            "country_code": "US",
            "telephone_number": "914-573-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "688 White Plains Rd Ste 232",
            "address_purpose": "LOCATION",
            "city": "Scarsdale",
            "state": "NY",
            "postal_code": "105835015",
            "country_code": "US",
            "telephone_number": "914-725-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHAI",
        "first_name": "MARYANN",
        "middle_name": "WILLIAM",
        "credential": "LMHC, LPCC, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "46.003408",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1901083",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007973",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004439A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard G Mason, D.C.
• Stephanie Mason
• Massage Indy
• Kiera N Massey
• Barbara Ann Matakevich, DO
• Micah T Mathai, MD
• Callie Mathers, ED.S.
• Alicia Mathews
• Carlabeth E. Mathias, LCSW, LMHC
• Solae Mathis

• Mental Health Counselor in Fishers, IN
• Providers in Fishers, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.