Organization Active NPI

Kathleen Levy LMFT LLC

  • Marriage & Family Therapist
  • Wakefield, RI
National Provider Identifier
1043072317
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KATHLEEN LEVY LMFT LLC
Practice address
24 Salt Pond Rd Ste B4
Wakefield, RI 02879-4320
Phone
(401) 788-9500
Fax
(401) 788-9500
NPI assigned
Jan 23, 2024
Last updated
Jan 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Kathleen Levy, MSNPI 1801800115
Title
LMFT
Phone
(401) 788-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

24 Salt Pond Rd Ste B4
Wakefield, RI 02879-4320

Mailing address

71 Wild Flower TRL
South Kingstown, RI 02879-1437
Phone (401) 932-0504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250808001190 RI Part B Supplier - Clinic/Group Practice 2769980812 Receives reassigned benefits from 1 practitioner
Practice locations: Wakefield, RI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1043072317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 WILD FLOWER TRL",
            "city": "SOUTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028791437",
            "telephone_number": "401-932-0504",
            "fax_number": "401-788-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD STE B4",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794320",
            "telephone_number": "401-788-9500",
            "fax_number": "401-788-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN LEVY LMFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "401-788-9500",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.