Active NPI
Diego Luevanos-Trejo, MT-BC
- Music Therapist
- Jacksonville, FL
National Provider Identifier
1619897758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 18396
- Practice address
- 1580 Blanding Blvd Ste 102
Jacksonville, FL 32210-1834 - Phone
- (904) 568-5820
- NPI assigned
- Jul 20, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 18396 | FL | Primary |
Addresses
Primary practice location
1580 Blanding Blvd Ste 102
Jacksonville, FL 32210-1834
Mailing address
3608 Alec Dr
Middleburg, FL 32068-7882
Phone (904) 568-5820
Other practice location 1
270 Land Grant St Unit 3
St Augustine, FL 32092-2046
Phone (904) 568-5820
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1619897758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3608 ALEC DR",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "320687882",
"telephone_number": "904-568-5820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 BLANDING BLVD STE 102",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322101834",
"telephone_number": "904-568-5820"
}
],
"practiceLocations": [
{
"address_1": "270 Land Grant St Unit 3",
"address_purpose": "LOCATION",
"city": "St Augustine",
"state": "FL",
"postal_code": "320922046",
"country_code": "US",
"telephone_number": "904-568-5820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUEVANOS-TREJO",
"first_name": "DIEGO",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-20",
"last_updated": "2026-07-20",
"certification_date": "2026-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "FL",
"license": "18396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.