Active NPI
David Mario Levy, LPC
- Professional Counselor
- Humble, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13331
- Practice address
- 1420 FM 1960 Bypass Rd E Ste 116
Humble, TX 77338-3934 - Phone
- (713) 457-4372
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13331 | TX | Primary |
Addresses
Primary practice location
1420 FM 1960 Bypass Rd E Ste 116
Humble, TX 77338-3934
Mailing address
16023 Youpon Valley Dr
Houston, TX 77073-5637
Phone (832) 286-6608
Other practice location 1
16023 Youpon Valley Dr
Houston, TX 77073-5637
Phone (832) 286-6608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027006803 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13331 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinghaven Counseling Group Inc | Professional | Current | Accepting new patients |
Locations
6315 Gulfton St
Ste 100
Houston, TX 77081
Phone (713) 457-4357
1420 FM 1960 Bypass Rd E
Ste 116
Humble, TX 77338
2007 N Collins Blvd
Ste 303
Richardson, TX 75080
Phone (972) 947-4112
3025 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (214) 257-0682
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": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1063508489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16023 YOUPON VALLEY DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770735637",
"telephone_number": "832-286-6608",
"fax_number": "281-821-0428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 FM 1960 BYPASS RD E STE 116",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773383934",
"telephone_number": "713-457-4372"
}
],
"practiceLocations": [
{
"address_1": "16023 Youpon Valley Dr",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770735637",
"country_code": "US",
"telephone_number": "832-286-6608",
"fax_number": "281-821-0428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVY",
"first_name": "DAVID",
"middle_name": "MARIO",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "13331",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027006803",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.