Individual provider Active NPI

Annette Mateu, LMHC

  • Mental Health Counselor
  • Miami Shores, FL
National Provider Identifier
1629619408
Registry record updated Oct 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16942 Issued in FL
Practice address
9628 NE 2ND Ave Ste 210E
Miami Shores, FL 33138-2748
Phone
(786) 281-3935
NPI assigned
Oct 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 16942 FL Primary

Addresses

Primary practice location

9628 NE 2ND Ave Ste 210E
Miami Shores, FL 33138-2748

Mailing address

9628 NE 2ND Ave Ste 210E
Miami Shores, FL 33138-2748
Phone (305) 298-7272

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL Miami
CONNECT URL Miami
Other URL Miami

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

State licenses

LicenseStateTypeSpecialty
16942FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Preval & Associates Counseling Services Mental Health PastSince Oct 6, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571529600000",
    "number": "1629619408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9628 NE 2ND AVE STE 210E",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382748",
            "telephone_number": "305-298-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9628 NE 2ND AVE STE 210E",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382748",
            "telephone_number": "786-281-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEU",
        "first_name": "ANNETTE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "16942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "9628 NE 2nd Ave Ste 210E",
            "city": "Miami Shores",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331382748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "9628 NE 2nd Ave Ste 210E",
            "city": "Miami Shores",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331382748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "2350 SW 27th Ave Apt 1101",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331453687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2019; 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.