ETHAN MCMATH LPC
NPI 1164374633
Counselor - Professional in Nacogdoches, TX

Active since February 09, 2026PECOS Enrolled
3824 N UNIVERSITY DR, NACOGDOCHES, TX 75965(936) 558-6200 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ethan Mcmath Lpc NPPES

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

ETHAN MCMATH LPC (NPI 1164374633) is an individual professional provider in Nacogdoches, Texas, licensed in Texas (85480) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1164374633
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameETHAN MCMATHCredential: LPC
Location Address3824 N UNIVERSITY DRNacogdoches, TX 75965-2011
Mailing Address2001 S Medford DrLufkin, TX 75901-6260 · (936) 639-1141
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
NPI 1164374633 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 TX · 85480
3824 N UNIVERSITY DR, Nacogdoches, TX 75965

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ethan Mcmath Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921589409
PECOS Enrollment IDI20260223002896
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 9

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

Counselor (Professional)
3824 N UNIVERSITY DR
NACOGDOCHES, TX 75965
Counselor (Professional)
3824 N UNIVERSITY DR
NACOGDOCHES, TX 75965
Social Worker (Clinical)
3824 N UNIVERSITY DR
NACOGDOCHES, TX 75965
Counselor (Professional)
3824 N UNIVERSITY DR
NACOGDOCHES, TX 75965
Counselor (Professional)
3824 N UNIVERSITY DR
NACOGDOCHES, TX 75965
Counselor (Professional)
3824 N UNIVERSITY DR
NACOGDOCHES, TX 75965
Social Worker (Clinical)
3824 N UNIVERSITY DR
NACOGDOCHES, TX 75965
Counselor (Professional)
3824 N UNIVERSITY DR
NACOGDOCHES, TX 75965

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 Ethan Mcmath's NPI number?

The NPI number for Ethan Mcmath is 1164374633. It was assigned to this individual provider in the NPPES registry on February 9, 2026.

Where is Ethan Mcmath located?

Ethan Mcmath practices at 3824 N University Dr, Nacogdoches, TX 75965. The listed phone number is (936) 558-6200.

What is Ethan Mcmath's specialty?

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

Is Ethan Mcmath enrolled in Medicare?

Yes. Ethan Mcmath is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Mcmath was last updated on February 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.