Organization Active NPI

Jonathan Mattice Family Therapy Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Evergreen, CO
National Provider Identifier
1750277430
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JONATHAN MATTICE FAMILY THERAPY CORPORATION
Doing business as
Jonathan Mattice Therapy Corporation
Practice address
33688 Valley View Dr
Evergreen, CO 80439-7820
Phone
(707) 217-3672
NPI assigned
Jun 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Mr. Jonathan David Mattice, LMFTNPI 1841643152
Title
Marriage and Family Therapist
Phone
(719) 789-5307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

33688 Valley View Dr
Evergreen, CO 80439-7820

Mailing address

33688 Valley View Dr
Evergreen, CO 80439-7820
Phone (707) 217-3672

Other practice location 1

2450 Peralta Blvd Ste 214
Fremont, CA 94536-3826
Phone (719) 789-5307

Other names 3

  • Jonathan Mattice Therapy Corporation Doing business as
  • Jonathan Mattice Family Therapy L.L.C. Former legal business name
  • Jonathan Mattice Family Therapy Corporation Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1750277430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33688 VALLEY VIEW DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397820",
            "telephone_number": "707-217-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33688 VALLEY VIEW DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397820",
            "telephone_number": "707-217-3672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Peralta Blvd Ste 214",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945363826",
            "country_code": "US",
            "telephone_number": "719-789-5307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JONATHAN MATTICE FAMILY THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "MATTICE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "719-789-5307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonathan Mattice Therapy Corporation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jonathan Mattice Family Therapy L.L.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Jonathan Mattice Family Therapy Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.