Individual provider · Type 1 NPI

Ntsieni Tshidi Mathalise

Mental Health Counselor · Santa Rosa, CA

NPI number 1053997528 Active

Practice location

1360 N Dutton Ave Ste C
Santa Rosa, CA 95401-4668

Call (415) 720-8184 Map

Mailing address

35 Yarrow Way
Santa Rosa, CA 95407-5844

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800X20698 (CA)
Community Health Worker 172V00000XNone listed

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About NPI 1053997528

Ntsieni Tshidi Mathalise's National Provider Identifier is 1053997528, issued on Mar 23, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Rosa, CA. The record was last updated on Jan 26, 2026.