CMS-1500 Box 24J / 33a • NPI
1669949384
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
101Y00000X
Licensed & Credentialed Counselor
Box 32 Service Location & ZIP+4
655 E CEDAR AVE, GLADWIN, MI, 48624-2215
✓ 9-Digit EDI 837 ZIP+4 (48624-2215)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1669949384 (BRENDA JEAN MATHER) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
No
Power Mobility
No
Hospice Referring
No
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1669949384 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BRENDA JEAN MATHER |
| Plain-English Specialty | Licensed & Credentialed Counselor NUCC Code: 101Y00000X (Counselor) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 655 E CEDAR AVE, GLADWIN, MI, 48624-2215 |
| Practice Telephone / Fax | Tel: (989) 426-9295 | Fax: (989) 426-2251 |
| Administrative Mailing Address | 4166 BAY AVE, BEAVERTON, MI, 48612-8819 |
| Enumeration & Last Sync | Enumerated: 2018-10-31 | CMS Record Updated: 2018-10-31 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in GLADWIN
🔒 Are you BRENDA JEAN MATHER? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (101Y00000X)
What Does Taxonomy Code 101Y00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101Y00000X translates to:
"Licensed & Credentialed Counselor"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BRENDA JEAN MATHER)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101Y00000X — CounselorPlain English: Licensed & Credentialed Counselor | State: MI | License: 4076219 | Primary: Secondary |
101Y00000X — CounselorPlain English: Licensed & Credentialed Counselor | State: MI | License: 6401014036 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.