Individual provider Active NPI

Mateja Petje, MS, LMFT

  • Marriage & Family Therapist
  • Miami Lakes, FL
National Provider Identifier
1497992481
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2338 Issued in FL
Practice address
6175 NW 153Rd St
Ste 404
Miami Lakes, FL 33014-2435
Phone
(305) 558-7400
Fax
(305) 558-6174
NPI assigned
Jan 13, 2009
Last updated
Jan 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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 MT2338 FL Primary

Addresses

Primary practice location

6175 NW 153Rd St
Ste 404
Miami Lakes, FL 33014-2435

Mailing address

6175 NW 153Rd St
Ste 404
Miami Lakes, FL 33014-2435
Phone (305) 558-7400

Other names 1

  • Mrs. Mateja Varon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MT2338FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Family Therapy Inc PastSince Aug 22, 2018 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1497992481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 NW 153RD ST",
            "address_2": "STE 404",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142435",
            "telephone_number": "305-558-7400",
            "fax_number": "305-558-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 NW 153RD ST",
            "address_2": "STE 404",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142435",
            "telephone_number": "305-558-7400",
            "fax_number": "305-558-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETJE",
        "first_name": "MATEJA",
        "name_prefix": "Ms.",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATEJA",
            "last_name": "VARON",
            "prefix": "MRS.",
            "credential": "MS, LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.