Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jason Forrest Mathers, PHD, LPC

Individual provider Mental Health Counselor · NPI 1205914173

Dr. Jason Forrest Mathers, PHD, LPC is a Mental Health Counselor in Ellisville, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

119 Clarkson Executive Park
Ellisville, MO 63011-2176
Phone: (636) 256-0600
Fax: (636) 256-0626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2006036655 (MO)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2001014823 (MO)

Record details

NPI number1205914173
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LPC
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESSeptember 11, 2025

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