Individual provider · Type 1 NPI

Jason Forrest Mathers, PhD, LPC

Psychologist · Ellisville, MO

NPI number 1205914173 Active

Practice location

119 Clarkson Executive Park
Ellisville, MO 63011-2176

Fax (636) 256-0626

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X2001014823 (MO)
Psychologist Primary 103T00000X2006036655 (MO)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1205914173

Jason Forrest Mathers, PhD, LPC's National Provider Identifier is 1205914173, issued on Nov 1, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Ellisville, MO. The record was last updated on Sep 11, 2025.