MRS. JODI ANN MATHYS (MSE, LPC) – Professional Counselor, NPI 1942386172

MRS. JODI ANN MATHYS (MSE, LPC) is a healthcare provider. based in Green bay, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MSE, LPC. They hold a License No. 4054-125 (WI). The NPI Number for MRS. JODI ANN MATHYS (MSE, LPC) is 1942386172

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JODI ANN MATHYS (MSE, LPC)
NPI
1942386172
Phone
(920) 436-6800
Address
PO BOX 22308
Enumeration Date
31 October 2006
Last Update Date
22 April 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9206571780
Graduation Year
2006 (20 years ago)
PAC ID
5496192353
Group Practice PAC ID
1456441153
Professional Enrollment ID
I20240327001716
Address ID
WI543045335GR2700XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,777 MENTAL HEALTH COUNSELOR in WI

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Provider Addresses for MRS. JODI ANN MATHYS (MSE, LPC)

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    300 CROOKS STREET

    GREEN BAY, WI 543052308

    Phone: (920) 436-6800

    Fax: (920) 432-5966

    Type: Mailing

  • 300, Crooks Street, Downtown, Green Bay, Brown County, Wisconsin, 54301, United States

    GREEN BAY, WI 54301

    Phone: (920) 436-6800

    Fax: (920) 432-5966

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-27

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240327001716IMental Health CounselorWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456441153View full group profile
NameSpecialtyState
Clinical PsychologistWI
Mental Health CounselorWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. JODI ANN MATHYS (MSE, LPC)?
NPI 1942386172 is assigned to MRS. JODI ANN MATHYS (MSE, LPC) under the national enumeration system.
Is MRS. JODI ANN MATHYS (MSE, LPC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MRS. JODI ANN MATHYS (MSE, LPC) work in?
You can think of MRS. JODI ANN MATHYS (MSE, LPC) as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
Where is MRS. JODI ANN MATHYS (MSE, LPC)'s primary listing?
We display Green Bay, Wisconsin because that is what the record indicates for MRS. JODI ANN MATHYS (MSE, LPC).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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