Kisha Donielle Levy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PLC10432 Issued in LA

Practice address

224 Saint Landry St Ste 2C
Lafayette, LA 70506-3578

Phone

(337) 716-5170

NPI assigned

Oct 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kisha Donielle Degray Former name

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": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1124849070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 DEHART DR APT A",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705607063",
            "telephone_number": "850-212-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 SAINT LANDRY ST STE 2C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063578",
            "telephone_number": "337-716-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "KISHA",
        "middle_name": "DONIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "PLC10432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KISHA",
            "last_name": "DEGRAY",
            "middle_name": "DONIELLE",
            "credential": "PLPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharae Marie Levine
• Michael Levinstone, LCSW
• Bianca Levy, CIT
• Emily Leblanc Levy, NP
• Kawana Rochelle Levy, FNP-BC
• Richard Levy, CRNA
• Winston Irving Levy, M.D.
• Kathryn Marie Lewczynski, PT, DPT
• Lewis C. Cummings M.D. Apmc
• Artenita Renee Lewis

• Mental Health Counselor in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.