FAWN MATHIS
NPI 1942997028
Counselor - Mental Health in Coos Bay, OR

Active since April 19, 2023
2020 THOMPSON RD, COOS BAY, OR 97420(541) 267-3511(541) 267-3512 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fawn Mathis NPPES

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

FAWN MATHIS (NPI 1942997028) is an individual mental health provider in Coos Bay, Oregon and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1942997028
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameFAWN MATHIS
Location Address2020 THOMPSON RDCoos Bay, OR 97420-2041
Mailing Address1750 Nebraska Ave Bldg AGrants Pass, OR 97527-5700 · (541) 956-4943
Fax(541) 267-3512
Sole ProprietorNo
Enumeration DateApril 19, 2023
NPPES CertifiedApril 19, 2023
NPI 1942997028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2020 THOMPSON RD, Coos Bay, OR 97420

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.

Counselor
2020 THOMPSON RD
COOS BAY, OR 97420
Peer Specialist
2020 THOMPSON RD
COOS BAY, OR 97420
Counselor (Mental Health)
2020 THOMPSON RD
COOS BAY, OR 97420
Counselor (Mental Health)
2020 THOMPSON RD
COOS BAY, OR 97420
Counselor (Mental Health)
2020 THOMPSON RD
COOS BAY, OR 97420
Counselor
2020 THOMPSON RD
COOS BAY, OR 97420
Counselor (Mental Health)
2020 THOMPSON RD
COOS BAY, OR 97420
Counselor (Mental Health)
2020 THOMPSON RD
COOS BAY, OR 97420

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 Fawn Mathis's NPI number?

The NPI number for Fawn Mathis is 1942997028. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Fawn Mathis located?

Fawn Mathis practices at 2020 Thompson Rd, Coos Bay, OR 97420. The listed phone number is (541) 267-3511.

What is Fawn Mathis'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 Fawn Mathis was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.