Individual provider Active NPI

Shiju Varghese, LMFT

  • Marriage & Family Therapist
  • Orlando, FL
National Provider Identifier
1962886184
Registry record updated May 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3192. Issued in FL
Practice address
3125 Bruton Blvd
Orlando, FL 32805-6608
Phone
(407) 514-4563
NPI assigned
Jul 17, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2026

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 MT3192. FL Primary

Addresses

Primary practice location

3125 Bruton Blvd
Orlando, FL 32805-6608

Mailing address

8865 Commodity Cir Ste 14-103
Ste 14-103
Orlando, FL 32819-9056
Phone (321) 300-6723

Other practice location 1

7345 W Sand Lake Rd Ste 303
Orlando, FL 32819-5205
Phone (321) 300-6723

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
MT3192.FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Counseling LLC Marriage & Family Therapist Current Accepting new patients
First Community Care Marriage & Family Therapist Past Accepting new patients

Locations

8865 Commodity Cir
Ste 14-103
Orlando, FL 32819
Phone (407) 706-7575

7345 W Sand Lake Rd
Ste 303
Orlando, FL 32819
Phone (321) 300-6723

Organizations & group practices 2

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": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779580800000",
    "number": "1962886184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 COMMODITY CIR STE 14-103",
            "address_2": "STE 14-103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199056",
            "telephone_number": "321-300-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 BRUTON BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328056608",
            "telephone_number": "407-514-4563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7345 W Sand Lake Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328195205",
            "country_code": "US",
            "telephone_number": "321-300-6723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "SHIJU",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-17",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3192.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2026; 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.