Active NPI
Laura A Clevenger, LMFT
- Marriage & Family Therapist
- Tallahassee, FL
National Provider Identifier
1871930859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT 2792
- Practice address
- 2286 Wednesday St Ste 1
Tallahassee, FL 32308-8310 - Phone
- (850) 567-1102
- Fax
- (850) 298-8857
- NPI assigned
- May 30, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT 2792 | FL | Primary |
Addresses
Primary practice location
2286 Wednesday St Ste 1
Tallahassee, FL 32308-8310
Mailing address
2286 Wednesday St Ste 1
Tallahassee, FL 32308-8310
Phone (850) 567-1102
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 |
|---|---|---|---|
| MT 2792 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Resources, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Tallahassee, FL
- NPI 1689949190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1871930859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2286 WEDNESDAY ST STE 1",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323088310",
"telephone_number": "850-567-1102",
"fax_number": "850-298-8857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2286 WEDNESDAY ST STE 1",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323088310",
"telephone_number": "850-567-1102",
"fax_number": "850-298-8857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEVENGER",
"first_name": "LAURA",
"middle_name": "A",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-30",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT 2792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.