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THERESA ANN MATA
NPI 1124912928
Peer Specialist in Yukon, OK

Active since June 05, 2025
1208 GARDEN GRV, YUKON, OK 73099(918) 922-4817 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa Ann Mata NPPES

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

THERESA ANN MATA (NPI 1124912928) is an individual peer specialist in Yukon, Oklahoma and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1124912928
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTHERESA ANN MATA
Location Address1208 GARDEN GRVYukon, OK 73099-4956
Mailing Address1208 Garden GrvYukon, OK 73099-4956 · (918) 922-4817
Phone(918) 922-4817
Sole ProprietorNo
Enumeration DateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1124912928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1208 GARDEN GRV, Yukon, OK 73099
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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 Theresa Mata's NPI number?

The NPI number for Theresa Mata is 1124912928. It was assigned to this individual provider in the NPPES registry on June 5, 2025.

Where is Theresa Mata located?

Theresa Mata practices at 1208 Garden Grv, Yukon, OK 73099. The listed phone number is (918) 922-4817.

What is Theresa Mata's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Theresa Mata was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.