Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LYDIA J MATHIS LPC
NPI 1780355867
Counselor - Mental Health in Boulder, CO

Active since September 28, 2021PECOS Enrolled
1800 30TH ST OFC 100A, BOULDER, CO 80301(720) 310-5512 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2026, Dec 18, 2025, Mar 13, 2025 and 1 more (4 updates tracked since 2021).

About Lydia J Mathis Lpc NPPES

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

LYDIA J MATHIS LPC (NPI 1780355867) is an individual mental health provider in Boulder, Colorado, licensed in Colorado (LPC.0022484) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1780355867
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLYDIA J MATHISCredential: LPC
Location Address1800 30TH ST OFC 100ABoulder, CO 80301-1088
Mailing Address3800 Colorado Ave Unit BBoulder, CO 80303-2102 · (937) 999-8374
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 28, 2021
Last NPPES UpdateJuly 30, 20264 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
NPI 1780355867 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 CO · LPC.0022484
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC.0022484 (CO)
1800 30TH ST OFC 100A, Boulder, CO 80301

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

Lydia J Mathis Lpc 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 ID3072013861
PECOS Enrollment IDI20250826001154
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

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

Counselor (Mental Health)
1800 30TH ST OFC 100A
BOULDER, CO 80301

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 Lydia Mathis's NPI number?

The NPI number for Lydia Mathis is 1780355867. It was assigned to this individual provider in the NPPES registry on September 28, 2021.

Where is Lydia Mathis located?

Lydia Mathis practices at 1800 30th St Ofc 100A, Boulder, CO 80301. The listed phone number is (720) 310-5512.

What is Lydia Mathis's specialty?

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

Is Lydia Mathis enrolled in Medicare?

Yes. Lydia Mathis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lydia Mathis was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.