Active NPI
Lu Fang
- Professional Counselor
- Murfreesboro, TN
National Provider Identifier
1508688045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6989
- Practice address
- 112 S Maple St Ste C-3
Murfreesboro, TN 37130-3530 - Phone
- (629) 251-7588
- NPI assigned
- Oct 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 000734574 | TN | |
| Professional Counselor | 101YP2500X | 6989 | TN | Primary |
Addresses
Primary practice location
112 S Maple St Ste C-3
Murfreesboro, TN 37130-3530
Mailing address
4957 Saint Ives Dr
Murfreesboro, TN 37128-2767
Phone (629) 251-7588
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6989 | TN | MD | Professional Counselor |
| 000734574 | TN | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1508688045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4957 SAINT IVES DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371282767",
"telephone_number": "629-251-7588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 S MAPLE ST STE C-3",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371303530",
"telephone_number": "629-251-7588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANG",
"first_name": "LU",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "TN",
"license": "000734574",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "6989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
- Family Care Solutions
- Family Health Associates
- Family Practice of Murfreesboro Walk-in Clinics
- Family Practice of Murfreesboro, PLLC
- Family Practice Partners, P.C.
- Ahmad Faour, MD
- Elizabeth Elaine Faria, BEHAVIOR TECHNICIAN
- James F Farley, S.L.P.
- Farmer Family Health, PLLC
- Christopher Edward Farmer, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.