Active NPI
Kathleen Levenson
- Art Therapist
- West Islip, NY
National Provider Identifier
1013460013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- P133207
- Practice address
- 248 Higbie LN FL 1
West Islip, NY 11795-2828 - Phone
- (631) 867-2501
- NPI assigned
- Jul 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Art Therapist | 221700000X | P133207 | NY | Primary |
Addresses
Primary practice location
248 Higbie LN FL 1
West Islip, NY 11795-2828
Mailing address
85 Philadelphia Ave
Massapequa Park, NY 11762-2547
Phone (631) 383-1872
Other practice location 1
11 Route 111
Smithtown, NY 11787-3754
Phone (631) 920-8000
Other names 1
- Kathleen Roepken
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 |
|---|---|---|---|
| P133207 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1013460013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 PHILADELPHIA AVE",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117622547",
"telephone_number": "631-383-1872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 HIGBIE LN FL 1",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117952828",
"telephone_number": "631-867-2501"
}
],
"practiceLocations": [
{
"address_1": "11 Route 111",
"address_purpose": "LOCATION",
"city": "Smithtown",
"state": "NY",
"postal_code": "117873754",
"country_code": "US",
"telephone_number": "631-920-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVENSON",
"first_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-26",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "P133207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "ROEPKEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.