Individual provider Active NPI

David Mario Levy, LPC

  • Professional Counselor
  • Humble, TX
National Provider Identifier
1063508489
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13331 Issued in TX
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

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
027006803MedicaidTX

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13331TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinghaven Counseling Group Inc Professional CurrentSince Jan 1, 2024 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

Verify at the official NPI Registry.