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

Kelly Javin Don Mather, MS, LCPC

Individual provider Counselor · NPI 1952668683

Kelly Javin Don Mather, MS, LCPC is a Mental Health Counselor in Nampa, Idaho. Qualified in 2011, 15 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
15
Licensed in
ID
In the registry since
2012
What do these letters mean?
MS — Master of Science
A graduate science degree.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

104 9th Ave S Ste B1
Nampa, ID 83651-3852
Phone: (208) 495-5806
Fax: (208) 606-3680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 6836 (ID)

Record details

NPI number1952668683
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LCPC
Sole proprietorYes
NPI enumeratedApril 19, 2012
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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