Active NPI
Mike Mathews
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1992023014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 6160 Mission Gorge Rd Ste 200
San Diego, CA 92120-3411 - Phone
- (619) 281-3706
- NPI assigned
- May 13, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
6160 Mission Gorge Rd Ste 200
San Diego, CA 92120-3411
Mailing address
6161 El Cajon Blvd # 135
San Diego, CA 92115-3922
Phone (619) 335-0319
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273708800000",
"number": "1992023014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6161 EL CAJON BLVD # 135",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921153922",
"telephone_number": "619-335-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6160 MISSION GORGE RD STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921203411",
"telephone_number": "619-281-3706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "MIKE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-13",
"last_updated": "2010-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.