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CODY MATHESON
NPI 1114193877
Counselor - Mental Health in St George, UT

Active since May 02, 2008PECOS Enrolled
474 W 200 N, ST GEORGE, UT 84770(435) 634-5600(435) 986-8700 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cody Matheson NPPES

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

CODY MATHESON (NPI 1114193877) is an individual mental health provider in St George, Utah, licensed in Utah (5919880-6004) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114193877
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCODY MATHESON
Location Address474 W 200 NSt George, UT 84770-4505
Mailing Address474 W 200 N, Ste#300St George, UT 84770-4505 · (435) 634-5600 · Fax (435) 986-8700
Phone(435) 634-5600
Fax(435) 986-8700
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 2, 2008
Last NPPES UpdateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1114193877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in UT · 5919880-6004
474 W 200 N, St George, UT 84770
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cody Matheson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921579244
PECOS Enrollment IDI20260608003436
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.

MICHAEL JESSE EVES
Case Manager/Care Coordinator
474 W 200 N
SAINT GEORGE, UT 84770
Washington County (435) 634-5600
AIMEE KAY CHRISTINE ADAMS
Technician, Other
474 W 200 N
ST GEORGE, UT 84770
Washington County (435) 634-5600
JOSIE ETHINGTON
Substance Abuse Rehabilitation Facility
474 W 200 N
ST GEORGE, UT 84770
Washington County (435) 634-5600
PAIGE CHANTELL STEVENSON
Technician, Other
474 W 200 N
SAINT GEORGE, UT 84770
Washington County (435) 634-5672
VIOLET THERESA FANO
Case Manager/Care Coordinator
474 W 200 N
ST GEORGE, UT 84770
Washington County (435) 634-5600
KARYN BURTON
Technician, Other
474 W 200 N, SUITE 100
ST. GEORGE, UT 84770
Washington County (435) 634-5600
BLAINE LADD
Technician, Other
474 W 200 N
SAINT GEORGE, UT 84770
Washington County (435) 634-5660
JO ANN M DIETZEL
Technician, Other
474 W 200 N, STE#300
ST GEORGE, UT 84770
Washington County (435) 634-5600

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 Cody Matheson's NPI number?

The NPI number for Cody Matheson is 1114193877. It was assigned to this individual provider in the NPPES registry on May 2, 2008.

Where is Cody Matheson located?

Cody Matheson practices at 474 W 200 N, St George, UT 84770. The listed phone number is (435) 634-5600.

What is Cody Matheson's specialty?

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

Is Cody Matheson enrolled in Medicare?

Yes. Cody Matheson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cody Matheson was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.