Individual provider Active NPI

Diego Luevanos-Trejo, MT-BC

  • Music Therapist
  • Jacksonville, FL
National Provider Identifier
1619897758
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
18396 Issued in FL
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

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.