Individual provider Active NPI

Tashaunda Dezarn

  • Marriage & Family Therapist
  • Lexington, KY
National Provider Identifier
1326495383
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
266732 Issued in KY
Practice address
298 W Loudon Ave
Lexington, KY 40508-1272
Phone
(859) 721-0149
Fax
(859) 721-0147
NPI assigned
May 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 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 266732 KY Primary

Addresses

Primary practice location

298 W Loudon Ave
Lexington, KY 40508-1272

Mailing address

298 W Loudon Ave
Lexington, KY 40508-1272
Phone (859) 721-0149

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
266732KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jaylee Awakened Ministries, LLC Marriage & Family Therapist PastSince Jan 21, 2022 Accepting new patients

Organizations & group practices 1

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": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1326495383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 W LOUDON AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405081272",
            "telephone_number": "859-721-0149",
            "fax_number": "859-721-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 W LOUDON AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405081272",
            "telephone_number": "859-721-0149",
            "fax_number": "859-721-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEZARN",
        "first_name": "TASHAUNDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "266732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.