Heather Mattheis

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3934 Issued in ND

Practice address

600 S 2ND St
Suite 201
Bismarck, ND 58504-5729

Phone

(701) 751-0384

NPI assigned

Mar 17, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• West Central Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bismarck, ND
  • NPI 1649226713
  Medicare reassignment NPD

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1841651981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S 2ND ST",
            "address_2": "SUITE 201",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045729",
            "telephone_number": "701-751-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 2ND ST",
            "address_2": "SUITE 201",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045729",
            "telephone_number": "701-751-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEIS",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "3934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528309846",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Lynne Mathis
• David M Mathison, MD
• Julia Mattern, SLP
• Kim Mattern
• Wayne A Mattern, DDS
• Matthew R. Derosier, PLLC
• Tareena Mattson, RD
• Hattie Mauch
• James Maurer
• Maximized Chiropractic

• Social Worker in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.