Individual provider Active NPI

Lydia J Mathis, LPC

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1780355867
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0022484 Issued in CO
Practice address
1800 30TH St Ofc 100a
Boulder, CO 80301-1088
Phone
(720) 310-5512
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0022484 CO
Mental Health Counselor 101YM0800X LPC.0022484 CO Primary

Addresses

Primary practice location

1800 30TH St Ofc 100a
Boulder, CO 80301-1088

Mailing address

3800 Colorado Ave Unit B
Boulder, CO 80303-2102
Phone (937) 999-8374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3201 S Tamarac Dr
Denver, CO 80231-4360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Colorado CurrentSince Jul 21, 2025 Accepting new patients
Jewish Family Service of Colorado CurrentSince Jul 21, 2025 Accepting new patients
Prosocial, LLC Mental Health CurrentSince Dec 7, 2025 Accepting new patients

Locations

1650 38th St
Ste 100E
Boulder, CO 80301
Phone (303) 330-3589

1800 30th St
Ofc 100A
Boulder, CO 80301

3201 S Tamarac Dr
Denver, CO 80231
Phone (303) 597-5000

Organizations & group practices 3

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1780355867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 COLORADO AVE UNIT B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032102",
            "telephone_number": "937-999-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 30TH ST OFC 100A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011088",
            "telephone_number": "720-310-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "LYDIA",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0022484",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0022484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.