Individual provider Active NPI

Devron Demont Hobbs, LMFT

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1407500903
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2210 Goldsmith LN Ste 230
Louisville, KY 40218-1070
Phone
(502) 618-3317
Fax
(502) 331-6062
NPI assigned
Feb 4, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 Primary

Addresses

Primary practice location

2210 Goldsmith LN Ste 230
Louisville, KY 40218-1070

Mailing address

4216 Telovi CT
Louisville, KY 40241-1537
Phone (502) 224-4145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918001077 KY Practitioner - Marriage and Family Therapist 4789026238 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Osting Individual and Family Services Inc CurrentSince Apr 18, 2024 Accepting new patients
Demystify Behavioral and Mental Health Services LLC CurrentSince Feb 6, 2022 Accepting new patients

Locations

2210 Goldsmith Ln
Ste 230
Louisville, KY 40218
Phone (502) 618-3317

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": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1407500903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 TELOVI CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411537",
            "telephone_number": "502-224-4145",
            "fax_number": "502-331-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 GOLDSMITH LN STE 230",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181070",
            "telephone_number": "502-618-3317",
            "fax_number": "502-331-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "DEVRON",
        "middle_name": "DEMONT",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-04",
        "last_updated": "2024-08-07",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.