Jeffry D Levesque, MSW, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

DP00941308 Issued in WV

Practice address

510 S Seminary St
Charles Town, WV 25414-1347

Phone

(304) 240-7040

NPI assigned

Aug 19, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1023484516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S. SEMINARY ST.",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141347",
            "telephone_number": "304-240-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S SEMINARY ST",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141347",
            "telephone_number": "304-240-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVESQUE",
        "first_name": "JEFFRY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "DP00941308",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "02517",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904006979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Neille Kronthal, LPTA
• Marilyn Lai Fang, RN
• Katrina R Lanham, RN
• Mandy Lee
• Virginia Legg
• Brittany Nicole Lewis
• Sierra Lewis, APRN
• Tina Lewis
• Jason Lincoln, PA-C
• Samantha Longerbeam

• Mental Health Counselor in Charles Town, WV
• Providers in Charles Town, WV by specialty
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.