Individual provider Active NPI

Luke Delavergne, LMFT

  • Marriage & Family Therapist
  • Nashville, TN
National Provider Identifier
1548748445
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1019 Issued in TN
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

Updated by the provider on Jun 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
83-1412647OtherTNEMPLOYEE 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

LicenseStateTypeSpecialty
1019TNMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Consulting LLC Marriage & Family Therapist PastSince Apr 16, 2023 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": "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.

Verify at the official NPI Registry.