Lavern Bucknor Depeine, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

37FI00190900 Issued in NJ

Practice address

32 Wernik PL Ste G
Metuchen, NJ 08840-2467

Phone

(732) 902-2181

Fax

(732) 902-2182

NPI assigned

Aug 6, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1053966002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S WASHINGTON AVE",
            "city": "DUNELLEN",
            "state": "NJ",
            "postal_code": "088121644",
            "telephone_number": "732-305-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WERNIK PL STE G",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402467",
            "telephone_number": "732-902-2181",
            "fax_number": "732-902-2182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 S Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Dunellen",
            "state": "NJ",
            "postal_code": "088121644",
            "country_code": "US",
            "telephone_number": "732-305-8116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPEINE",
        "first_name": "LAVERN",
        "middle_name": "BUCKNOR",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00190900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Metuchen, NJ
• Providers in Metuchen, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.