THERESE N MASTIN M.A., QMHP
NPI 1003059296
Counselor - Professional in Cottage Grove, OR

Q: What is Therese Mastin's NPI number?

The NPI number for Therese Mastin is 1003059296. It was assigned to this individual provider in the NPPES registry on April 17, 2009.

Q: What is Therese Mastin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Therese Mastin was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 17, 2009PECOS EnrolledAccepts Medicare Assignment

1345 BIRCH AVE, COTTAGE GROVE, OR 97424(541) 942-3939(541) 942-9310 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 21, 2022, Sep 1, 2017 (2 updates tracked since 2017).

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About Therese N Mastin M.a., Qmhp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESE N MASTIN M.A., QMHP (NPI 1003059296) is an individual professional provider in Cottage Grove, Oregon, licensed in Oregon (C8458) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1003059296

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTHERESE N MASTINCredential: M.A., QMHP

Location Address1345 BIRCH AVECottage Grove, OR 97424-1416

Mailing Address410 N 9th St, Po Box 5Cottage Grove, OR 97424-1307 · (541) 942-2850 · Fax (541) 942-1574

Phone(541) 942-3939

Fax(541) 942-9310

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateApril 17, 2009

Last NPPES UpdateJune 10, 20262 updates tracked since enumeration

NPPES CertifiedJune 10, 2026

✔ NPI 1003059296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OR · C8458

1345 BIRCH AVE, Cottage Grove, OR 97424

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Other Identifiers 1

Medicaid019047OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Therese N Mastin M.a., Qmhp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325503170

PECOS Enrollment IDI20260722001333

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TESSA HART MED, QMHP

Counselor (Mental Health)