Individual provider · Type 1 NPI

Lydia J. Mathis, LPC

Mental Health Counselor · Boulder, CO

NPI number 1780355867 Active

Practice location

1800 30th St Ofc 100A
Boulder, CO 80301-1088

Call (720) 310-5512 Map

Mailing address

3800 Colorado Ave Unit B
Boulder, CO 80303-2102

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XLPC.0022484 (CO)
Mental Health Counselor Primary 101YM0800XLPC.0022484 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1780355867

Lydia J. Mathis, LPC's National Provider Identifier is 1780355867, issued on Sep 28, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Jul 30, 2026.