Individual provider Active NPI

Amy Maturen, LMFT

  • Marriage & Family Therapist
  • Lakeland, FL
National Provider Identifier
1184300451
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4665 Issued in FL
Practice address
4450 Harden Blvd
Lakeland, FL 33813-1433
Phone
(407) 644-4692
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT4665 FL Primary

Addresses

Primary practice location

4450 Harden Blvd
Lakeland, FL 33813-1433

Mailing address

1505 Orchid Ave
Winter Park, FL 32789-5649
Phone (407) 644-4692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428004376 FL Practitioner - Marriage and Family Therapist 9537685045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Counseling Services, Inc.Group PAC ID 2365968872, 8 clinicians

Practice addresses (Care Compare)

4450 Harden Blvd
Suite 33813
Lakeland, FL 33813-1433
Phone (407) 644-4692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MT4665FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Counseling Services, Inc. CurrentSince Feb 17, 2025 Accepting new patients
Lutheran Counseling Services PastSince Jun 25, 2023 Accepting new patients

Locations

4450 Harden Blvd
Lakeland, FL 33813
Phone (407) 644-4692

1505 Orchid Ave
Winter Park, FL 32789
Phone (407) 644-4692

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1184300451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 ORCHID AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895649",
            "telephone_number": "407-644-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131433",
            "telephone_number": "407-644-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUREN",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.