Individual provider Active NPI

Kendra Natasha Mathew, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1700778909
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1193106 Issued in TX
Practice address
3110 Nogalitos Ste 206
San Antonio, TX 78225-2338
Phone
(210) 764-4113
Fax
(210) 390-1550
NPI assigned
Jul 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1193106 TX Primary

Addresses

Primary practice location

3110 Nogalitos Ste 206
San Antonio, TX 78225-2338

Mailing address

3110 Nogalitos Ste 206
San Antonio, TX 78225-2338
Phone (210) 764-4113

Other identifiers 1

IdentifierTypeStateIssuer
1193106OtherTXAPRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003000905 TX Practitioner - Nurse Practitioner 1658877089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Clarity LLCGroup PAC ID 3678916376, 2 clinicians

Practice addresses (Care Compare)

3110 Nogalitos
Suite 206
San Antonio, TX 78225-2338
Phone (210) 764-4113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Clarity LLC CurrentSince Jul 21, 2025 Accepting new patients
Airrosti Rehab Centers, LLC PastSince Jul 21, 2025 Accepting new patients

Locations

3110 Nogalitos
Ste 206
San Antonio, TX 78225
Phone (210) 764-4113

3110 Nogalitos
Ste 105
San Antonio, TX 78225
Phone (210) 533-0257

Interoperability endpoints

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

Organizations & group practices 2

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": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1700778909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 NOGALITOS STE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782252338",
            "telephone_number": "210-764-4113",
            "fax_number": "210-390-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 NOGALITOS STE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782252338",
            "telephone_number": "210-764-4113",
            "fax_number": "210-390-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "KENDRA",
        "middle_name": "NATASHA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1193106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "1193106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.