Individual provider Active NPI

Devon Schlegel, ATR-BC, LPC, LMHC

  • Art Therapist
  • Jacksonville, FL
National Provider Identifier
1922540772
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
15-006 Issued in FL
Practice address
1804 San Marco PL
Jacksonville, FL 32207-3247
Phone
(301) 268-7701
NPI assigned
Nov 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 15-006 FL Primary
Mental Health Counselor 101YM0800X MH17524 FL
Professional Counselor 101YP2500X PC008689 PA

Addresses

Primary practice location

1804 San Marco PL
Jacksonville, FL 32207-3247

Mailing address

1804 San Marco PL
Jacksonville, FL 32207-3247

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

LicenseStateTypeSpecialty
MH17524FLMDMental Health Counselor
PC008689PAMDProfessional Counselor
15-006FLMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Indigo Art Therapy Studio LLC Mental Health CurrentSince Oct 24, 2021 Accepting new patients

Locations

1804 San Marco Pl
Jacksonville, FL 32207
Phone (301) 268-7701

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.

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1922540772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 SAN MARCO PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 SAN MARCO PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073247",
            "telephone_number": "301-268-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEGEL",
        "first_name": "DEVON",
        "credential": "ATR-BC, LPC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "FL",
            "license": "15-006",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17524",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008689",
            "primary": false
        }
    ],
    "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 Oct 19, 2021; 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.