Ervina Desaussure

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

294202 Issued in KY

Practice address

4010 Dupont Cir Ste 202
Louisville, KY 40207-4847

Phone

(502) 326-3011

NPI assigned

Aug 27, 2024

Last updated

Aug 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Marriage and Family Therapist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hagan Health LLCGroup PAC ID 5890129159, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hagan Health LLC

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1891349833

  Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD
• Terry M. Hagan MD

  dba Hagan Health

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1396260527

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1861226466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 MARKHAM LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074847",
            "telephone_number": "502-326-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAUSSURE",
        "first_name": "ERVINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "294202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medha Desai
• Neil Desai, MB BCH BAO
• Shahil Desai
• Shweta Desai, PHARMD
• Preeti Tara Desaigoudar, MS, CGC
• Krista M Desensi, M.D.
• Deshields Behavioral Wellness, Inc.
• Katie Beth Deshields, PSY.D.
• Collin Deshler
• Desi Home Care LLC

• Marriage & Family Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.