NPI 1205914173

Jason Forrest Mathers, PHDLPC

Practitioner Psychologist Ellisville, MO

Practice location

Address: 119 Clarkson Executive Park, Ellisville, MO 63011-2176
Phone: (636) 256-0600
Fax: (636) 256-0626

Registered specialties (2)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 2006036655 (MO)

Other Psychologist providers in Missouri →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 2001014823 (MO)

Other Counselor providers in Missouri →

Registry record

NPI: 1205914173
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Nov 2006
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.