Active NPI
Luke Delavergne, LMFT
- Marriage & Family Therapist
- Nashville, TN
National Provider Identifier
1548748445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1019
- Practice address
- 210 25TH Ave N Ste 1220
Nashville, TN 37203-1606 - Phone
- (615) 549-5033
- NPI assigned
- Aug 2, 2018
- Sex
- Male
- 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 | 1019 | TN | Primary |
Addresses
Primary practice location
210 25TH Ave N Ste 1220
Nashville, TN 37203-1606
Mailing address
4156 Meadow View Cir
Pleasant View, TN 37146-8197
Phone (615) 549-5033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-1412647 | Other | TN | EMPLOYEE IDENTIFICATION NUMBER |
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 |
|---|---|---|---|
| 1019 | TN | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Consulting LLC | Marriage & Family Therapist | Past | 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.
-
- Marriage & Family Therapist
- Nashville, TN
- NPI 1003501610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1548748445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4156 MEADOW VIEW CIR",
"city": "PLEASANT VIEW",
"state": "TN",
"postal_code": "371468197",
"telephone_number": "615-549-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 25TH AVE N STE 1220",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031606",
"telephone_number": "615-549-5033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAVERGNE",
"first_name": "LUKE",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-02",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "1019",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYEE IDENTIFICATION NUMBER",
"identifier": "83-1412647",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.