Individual provider Active NPI

Christopher Ryan Mathis, LMHC

  • Mental Health Counselor
  • Mount Vernon, WA
National Provider Identifier
1982180667
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60998160
Practice address
419 S 1St St Ste 212
Mount Vernon, WA 98273-3828
Phone
(360) 420-1980
NPI assigned
Jul 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60998160 WA
Mental Health Counselor 101YM0800X LH60998160 Primary

Addresses

Primary practice location

419 S 1St St Ste 212
Mount Vernon, WA 98273-3828

Mailing address

1608 S 14TH St
Mount Vernon, WA 98274-5307
Phone (360) 420-1980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH60998160WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Mathis Counseling, PLLC Mental Health CurrentSince Apr 24, 2022 Accepting new patients
Sea Mar Community Health Centers PastSince Feb 9, 2025 Accepting new patients
Sea-Mar Community Health Center Past Accepting new patients

Locations

419 S 1st St
Ste 212
Mount Vernon, WA 98273
Phone (360) 420-1980

325 Pine St
Ste G
Mount Vernon, WA 98273

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": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1982180667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 S 14TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982745307",
            "telephone_number": "360-420-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S 1ST ST STE 212",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733828",
            "telephone_number": "360-420-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60998160",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "LH60998160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.