KRISTAL MATHIS (NPI# 1326366394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326366394 |
| Entity Type | Individual |
| Full Name | KRISTAL MATHIS |
| Credential | MA MFT CMHS MHP |
| Practice Address |
203 Se Park Plaza Dr Vancouver WA 98684-5886 |
| Mailing Address |
Po Box 871183 Vancouver WA 98687-1183 |
| Practice Telephone | 3607982058 |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | RC 00058674 | WA | Behavioral Health & Social Service Providers |
| Street Address |
203 SE PARK PLAZA DR |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-5886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437262094 | Sande Bartels Irwin | Otolaryngology | 203 Se Park Plaza Dr, Suite 140, Vancouver, WA 98684-5886 | 2006-08-17 |
| 1588116438 | Kaiser Foundation Health Plan of The Northwest | General Practice | 203 Se Park Plaza Dr, Suite 140, Vancouver, WA 98684-5886 | 2016-10-26 |
| 1740636364 | Stephanie Mara Wichmann | Social Worker | 203 Se Park Plaza Dr, Suite 105, Vancouver, WA 98684-5886 | 2016-05-12 |
| 1740526706 | In Touch Counseling Services | Marriage & Family Therapist | 203 Se Park Plaza Dr, Suite 105, Vancouver, WA 98684-5886 | 2012-12-19 |
| 1285985705 | Mary Elizabeth Jones-wilcox | Counselor | 203 Se Park Plaza Dr, Suite 105, Vancouver, WA 98684-5886 | 2012-09-24 |
| 1699048272 | Diane V Stadler | Counselor | 203 Se Park Plaza Dr, Suite 105, Vancouver, WA 98684-5886 | 2012-02-13 |
| 1679866933 | The Devlopment Center | Counselor | 203 Se Park Plaza Dr, Suite#105, Vancouver, WA 98684-5886 | 2011-05-19 |
| 1841441417 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 203 Se Park Plaza Dr, Suite 140, Vancouver, WA 98684-5886 | 2008-10-01 |
| 1780867309 | Gabriele M Smith | Counselor | 203 Se Park Plaza Dr, Suite 105, Vancouver, WA 98684-5886 | 2007-12-06 |
| 1790823219 | Jeanne M Hehlen | Counselor | 203 Se Park Plaza Dr, Park Tower II Suite #105, Vancouver, WA 98684-5886 | 2007-02-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
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| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735095 | Meghann Smith | Marriage & Family Therapist | 12800 Ne 4th St Apt 23, Vancouver, WA 98684-5095 | 2018-10-11 |
| 1033576285 | Joshua Michael Schnellbach | Marriage & Family Therapist | 11801 Ne 65th St Ste A, Vancouver, WA 98662-5527 | 2016-01-19 |
| 1225403454 | Refresh Therapy, Inc | Marriage & Family Therapist | 1319 Ne 134th St # 111, Vancouver, WA 98685-2717 | 2015-12-14 |
| 1821472606 | Denise Burningham | Marriage & Family Therapist | 4601 E 18th St Apt 167, Vancouver, WA 98661-6251 | 2015-07-12 |
| 1174954911 | Susan Louise Kelsay | Marriage & Family Therapist | 201 Se 124th Ave., #203, Vancouver, WA 98684 | 2013-12-04 |
| 1659713444 | Integrity Counseling | Marriage & Family Therapist | 201 Se 124th Ave Ste 203, Vancouver, WA 98684-6067 | 2013-07-23 |
| 1376880518 | Ezra Kilfoil | Marriage & Family Therapist | 1104 Main St Ste 440, Vancouver, WA 98660-2955 | 2013-01-08 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1235494477 | Breya Chantarabunchorn | Marriage & Family Therapist | 5501 Ne 109th Ct Ste A1, Vancouver, WA 98662-6173 | 2012-07-12 |
| 1033483391 | Therapeutic Change | Marriage & Family Therapist | 3305 Main St Ste 24, Vancouver, WA 98663-2234 | 2012-03-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.