Individual provider Active NPI

Robin Mathews, LMFT

  • Marriage & Family Therapist
  • Venice, FL
National Provider Identifier
1669862686
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4602 Issued in FL
Practice address
400 Tamiami TRL S Ste 160
Venice, FL 34285-2612
Phone
(559) 258-2929
Fax
(559) 570-0146
NPI assigned
Jan 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT42356 CA
Marriage & Family Therapist 106H00000X MT4602 FL Primary

Addresses

Primary practice location

400 Tamiami TRL S Ste 160
Venice, FL 34285-2612

Mailing address

400 Tamiami TRL S Ste 160
Venice, FL 34285-2612
Phone (559) 258-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT42356CAMDMarriage & Family Therapist
MT4602FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robin Mathews, LMFT, Individual and Marriage Therapist, Inc. Marriage & Family Therapist CurrentSince Mar 19, 2023 Accepting new patients
Kings Counseling Center Marriage & Family Therapist Past Accepting new patients
Kings Counseling Center Past Accepting new patients

Locations

400 Tamiami Trl S
Ste 160
Venice, FL 34285
Phone (559) 258-2929

Organizations & group practices 3

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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1669862686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TAMIAMI TRL S STE 160",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852612",
            "telephone_number": "559-258-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TAMIAMI TRL S STE 160",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852612",
            "telephone_number": "559-258-2929",
            "fax_number": "559-570-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "ROBIN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT42356",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.