Individual provider Active NPI

Julie Adrienne Levesque, LPC

  • Professional Counselor
  • Woodbury, CT
National Provider Identifier
1083117899
Registry record updated Mar 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3416 Issued in CT
Practice address
125 Main St N Ste 2B
Woodbury, CT 06798-2953
Phone
(203) 263-3175
Fax
(844) 364-2702
NPI assigned
Mar 18, 2018
Last updated
Mar 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2018

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 3416 CT Primary

Addresses

Primary practice location

125 Main St N Ste 2B
Woodbury, CT 06798-2953

Mailing address

236 Washington Rd
Woodbury, CT 06798-2807
Phone (203) 263-3793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119000140 CT Practitioner - Mental Health Counselor 2860844453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wolf Spirit Wellness and Counseling Center LLCGroup PAC ID 0244604114, 4 clinicians

Practice addresses (Care Compare)

670 Main St S
B2
Woodbury, CT 06798-3738
Phone (203) 263-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wolf Spirit Wellness and Counseling Center, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

125 Main St N
Ste 2B
Woodbury, CT 06798
Phone (203) 263-3175

670 Main St S
#B2
Woodbury, CT 06798
Phone (203) 263-3175

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521331200000",
    "number": "1083117899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 WASHINGTON RD",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067982807",
            "telephone_number": "203-263-3793",
            "fax_number": "844-364-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAIN ST N STE 2B",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067982953",
            "telephone_number": "203-263-3175",
            "fax_number": "844-364-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVESQUE",
        "first_name": "JULIE",
        "middle_name": "ADRIENNE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-18",
        "last_updated": "2018-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, CT

Sources for this page

Verify at the official NPI Registry.