Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Carlos Edwin-Matos

Individual provider Mental Health Counselor · NPI 1407400807

Jason Carlos Edwin-Matos is a Mental Health Counselor in Fairbanks, Alaska. Licensed in Alaska. Registered with an NPI since 2019.

Licensed in
AK
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1825 Marika Rd
Fairbanks, AK 99709-5521
Phone: (907) 459-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Mental Health Counselor Taxonomy 101YM0800X (AK)

Record details

NPI number1407400807
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 25, 2019
Last updated in NPPESJuly 25, 2019
Mailing address1825 Marika Rd, Fairbanks, AK 99709-5521

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