Leveled Up Reentry

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LEVELED UP REENTRY

Practice address

7821 S Park Ave
Tacoma, WA 98408-5314

Phone

(253) 878-8888

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Latanisha Booker

Title

Ceo

Phone

(253) 878-8888

Specialties & licenses 4

Addresses

Other names 1

• Leveled Up Reentry Former legal business name

Locations

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1013774082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 S MERIDIAN STE D421",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733603",
            "telephone_number": "253-878-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7821 S PARK AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984085314",
            "telephone_number": "253-878-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVELED UP REENTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "LATANISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-878-8888"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leveled Up Reentry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Charles Raymond Leusner, MD
• Jonah Leutwyler, RN
• Val A Lev, MD
• Jonathan Alan Levant, M.D.
• Jessica Rose Levee, M.S.
• Rebecca Mellen Levenson, LICSW
• Antonio Bernard Leverette Sr.
• John Charles Levesque, RPH
• Jordan P Levin, PAC
• Arthur M Levine, LMHC

• Case Management Agency in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.