Active NPI
Jonathan Hodge
- Marriage & Family Therapist
- Knoxville, TN
National Provider Identifier
1679252001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0929
- Practice address
- 408 N Cedar Bluff Rd Ste 305
Knoxville, TN 37923-3648 - Phone
- (865) 888-5818
- Fax
- (865) 888-5819
- NPI assigned
- Jul 13, 2023
- 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 | 0929 | TN | Primary |
Addresses
Primary practice location
408 N Cedar Bluff Rd Ste 305
Knoxville, TN 37923-3648
Mailing address
408 N Cedar Bluff Rd Ste 305
Knoxville, TN 37923-3648
Phone (865) 888-5818
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 |
|---|---|---|---|
| 0929 | TN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1679252001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 N CEDAR BLUFF RD STE 305",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379233648",
"telephone_number": "865-888-5818",
"fax_number": "865-888-5819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 N CEDAR BLUFF RD STE 305",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379233648",
"telephone_number": "865-888-5818",
"fax_number": "865-888-5819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-13",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "0929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.