Individual provider Active NPI

Tamara L Matzke, MFT

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1902957012
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC39351 Issued in CA
Practice address
143 Figueroa St
Suite J
Ventura, CA 93001-2756
Phone
(805) 340-0861
Fax
(805) 830-0394
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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 MFC39351 CA Primary

Addresses

Primary practice location

143 Figueroa St
Suite J
Ventura, CA 93001-2756

Mailing address

143 Figueroa St
Suite J
Ventura, CA 93001-2756
Phone (805) 340-0861

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
MFC39351CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1902957012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 FIGUEROA ST",
            "address_2": "SUITE J",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012756",
            "telephone_number": "805-340-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 FIGUEROA ST",
            "address_2": "SUITE J",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012756",
            "telephone_number": "805-340-0861",
            "fax_number": "805-830-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZKE",
        "first_name": "TAMARA",
        "middle_name": "L",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.