Nathalie Mateo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH26142 Issued in FL

Practice address

11932 Fairway Lakes Dr
Fort Myers, FL 33913-8337

Phone

(239) 237-2801

NPI assigned

Aug 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24796/brand/1/csg/1/fhir/r4

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.

• Chrysallis Wellness Center

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1326732603
  NPD
• Chrysallis Wellness Center Inc

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1386272334
  NPD

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1285467985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18321 BEAUTY BERRY CT",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339727527",
            "telephone_number": "239-464-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11932 FAIRWAY LAKES DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138337",
            "telephone_number": "239-237-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEO",
        "first_name": "NATHALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH26142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Chandler Masters, APRN
• Dante John Mastrangelo
• Sophia Mastros
• Lisett Mata Alvarez, DDS
• Otakhon Matchanov, MD
• Maternal Fetal Medicine of Southwest Florida PA
• Melissa L. Matherson, LMFT
• Mini Mathew, APRN
• Debra Mathews
• John Mathieu, CRNA

• Mental Health Counselor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.