NTSIENI TSHIDI MATHALISE
NPI 1053997528
Counselor - Mental Health in Santa Rosa, CA

Active since March 23, 2021
1360 N DUTTON AVE STE C, SANTA ROSA, CA 95401(415) 720-8184 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2026, Jan 24, 2026, Sep 17, 2025 and 2 more (5 updates tracked since 2021).

About Ntsieni Tshidi Mathalise NPPES

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

NTSIENI TSHIDI MATHALISE (NPI 1053997528) is an individual mental health provider in Santa Rosa, California, licensed in California (20698) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1053997528
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNTSIENI TSHIDI MATHALISE
Location Address1360 N DUTTON AVE STE CSanta Rosa, CA 95401-4668
Mailing Address35 Yarrow WaySanta Rosa, CA 95407-5844
Sole ProprietorNo
Enumeration DateMarch 23, 2021
Last NPPES UpdateJanuary 26, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
NPI 1053997528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 20698
Also ListedCommunity Health WorkerTaxonomy 172V00000X
1360 N DUTTON AVE STE C, Santa Rosa, CA 95401

Other Providers at the Same Location NPPES 15

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

Counselor
1360 N DUTTON AVE STE C
SANTA ROSA, CA 95401
Social Worker (Clinical)
1360 N DUTTON AVE STE C
SANTA ROSA, CA 95401
Community Health Worker
1360 N DUTTON AVE STE C
SANTA ROSA, CA 95401
Social Worker
1360 N DUTTON AVE STE C
SANTA ROSA, CA 95401
Marriage & Family Therapist
1360 N DUTTON AVE STE C
SANTA ROSA, CA 95401
Marriage & Family Therapist
1360 N DUTTON AVE STE C
SANTA ROSA, CA 95401
Social Worker (Clinical)
1360 N DUTTON AVE STE C
SANTA ROSA, CA 95401
Community/Behavioral Health
1360 N DUTTON AVE STE C
SANTA ROSA, CA 95401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ntsieni Mathalise's NPI number?

The NPI number for Ntsieni Mathalise is 1053997528. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Ntsieni Mathalise located?

Ntsieni Mathalise practices at 1360 N Dutton Ave Ste C, Santa Rosa, CA 95401. The listed phone number is (415) 720-8184.

What is Ntsieni Mathalise's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ntsieni Mathalise was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.