Individual provider Active NPI

Lavonne Johnson, LMFT

  • Marriage & Family Therapist
  • Murfreesboro, TN
National Provider Identifier
1629203542
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1020 Issued in TN
Practice address
2615 Medical Center Parkway
Suite 1560
Murfreesboro, TN 37129-1702
Phone
(615) 440-9952
Fax
(855) 531-0056
NPI assigned
May 20, 2009
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1020 TN Primary

Addresses

Primary practice location

2615 Medical Center Parkway
Suite 1560
Murfreesboro, TN 37129-1702

Mailing address

1784 W Northfield Blvd # 363
Murfreesboro, TN 37129-1702
Phone (615) 440-9952

Other names 1

  • Miss Lavonne Desiree Mirical Pearson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207003473 TN Practitioner - Marriage and Family Therapist 1254774144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

275 Robert Rose Dr
BLDG B
Murfreesboro, TN 37129-6347
Phone (888) 374-5066

5030 Carothers Pkwy
Suite 120
Franklin, TN 37067-6030
Phone (888) 374-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Jan 1, 2024 Accepting new patients
Even Me Counseling, LLC Current Accepting new patients
Family Care Center, LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

5030 Carothers Pkwy
Ste 120
Franklin, TN 37067
Phone (615) 534-2176

2615 Medical Center Pkwy
Ste 1560
Murfreesboro, TN 37129
Phone (615) 525-6181

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15315/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1629203542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 W NORTHFIELD BLVD # 363",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291702",
            "telephone_number": "615-440-9952",
            "fax_number": "855-531-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 MEDICAL CENTER PARKWAY",
            "address_2": "SUITE 1560",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291702",
            "telephone_number": "615-440-9952",
            "fax_number": "855-531-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAVONNE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "1020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAVONNE",
            "last_name": "PEARSON",
            "middle_name": "DESIREE MIRICAL",
            "prefix": "MISS",
            "credential": "MSMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.