Active NPI
Maxiel Amareyis Mateo, LMFT, RN
- Marriage & Family Therapist
- Pembroke Pines, FL
National Provider Identifier
1902223670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT4630
- Practice address
- 1117 SW 123Rd Ave
Pembroke Pines, FL 33025-5770 - Phone
- (786) 663-3265
- NPI assigned
- Mar 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9648954 | FL | |
| Marriage & Family Therapist | 106H00000X | MT4630 | FL | Primary |
Addresses
Primary practice location
1117 SW 123Rd Ave
Pembroke Pines, FL 33025-5770
Mailing address
1117 SW 123Rd Ave
Pembroke Pines, FL 33025-5770
Phone (786) 663-3265
Other names 1
- Maxiel Amareyis Mateo-Foxx
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT4630 | FL | MD | Marriage & Family Therapist |
| 9648954 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Marriage & Family Therapist | Current | Accepting new patients |
| Shine Medical Providers PC | Past | Accepting new patients | |
| A New Beginning Behavioral Services, Inc | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
Marriage & Family Therapist
-
- Behavior Analyst
- Doral, FL
- NPI 1457648438
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1538894050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1902223670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 SW 123RD AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330255770",
"telephone_number": "786-663-3265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 SW 123RD AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330255770",
"telephone_number": "786-663-3265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEO",
"first_name": "MAXIEL",
"middle_name": "AMAREYIS",
"credential": "LMFT, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-19",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9648954",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT4630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAXIEL",
"last_name": "MATEO-FOXX",
"middle_name": "AMAREYIS",
"credential": "LMFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.