Active NPI
Callie Michelle Buchanan, LMFT
- Marriage & Family Therapist
- Live Oak, FL
National Provider Identifier
1538848841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT4696
- Practice address
- 1813 Cecil Webb PL
Live Oak, FL 32060-9223 - Phone
- (386) 842-5501
- NPI assigned
- Jul 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT4696 | FL | Primary |
Addresses
Primary practice location
1813 Cecil Webb PL
Live Oak, FL 32060-9223
Mailing address
3224 NW 61St Blvd
Jennings, FL 32053-2518
Phone (229) 560-0609
Other practice location 1
475 Biltmore Way Ste 109
Coral Gables, FL 33134-5724
Phone (415) 424-4266
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 |
|---|---|---|---|
| MT4696 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1538848841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3224 NW 61ST BLVD",
"city": "JENNINGS",
"state": "FL",
"postal_code": "320532518",
"telephone_number": "229-560-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 CECIL WEBB PL",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320609223",
"telephone_number": "386-842-5501"
}
],
"practiceLocations": [
{
"address_1": "475 Biltmore Way Ste 109",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331345724",
"country_code": "US",
"telephone_number": "415-424-4266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCHANAN",
"first_name": "CALLIE",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-13",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT4696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Live Oak, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.