Active NPI
Devon Schlegel, ATR-BC, LPC, LMHC
- Art Therapist
- Jacksonville, FL
National Provider Identifier
1922540772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 15-006
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MH17524 | FL | MD | Mental Health Counselor |
| PC008689 | PA | MD | Professional Counselor |
| 15-006 | FL | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indigo Art Therapy Studio LLC | Mental Health | Current | 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.