Individual provider Active NPI

Paulina B Levinzon

  • Professional Counselor
  • East Brunswick, NJ
National Provider Identifier
1184073983
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00488500 Issued in NJ
Practice address
495 Ryders LN
East Brunswick, NJ 08816-2769
Phone
(732) 455-1303
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00210800 PA
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00210800 NJ
Professional Counselor 101YP2500X 37PC00488500 NJ Primary
Professional Counselor 101YP2500X PC017134 PA

Addresses

Primary practice location

495 Ryders LN
East Brunswick, NJ 08816-2769

Mailing address

495 Ryders LN
East Brunswick, NJ 08816-2769
Phone (732) 455-1303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Opted out of Medicare
Yes, effective Oct 1, 2026 through Oct 1, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251017002010 NJ Practitioner - Mental Health Counselor 7214424639

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 N Rd
Apt 3
Warren, NJ 07059-7184

3715 Amboy Rd
Staten Island, NY 10308-2519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00210800NJMDAddiction (Substance Use Disorder) Counselor
37LC00210800PAMDAddiction (Substance Use Disorder) Counselor
37PC00488500NJMDProfessional Counselor
PC017134PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Four Seasons Counseling Group LLC Professional CurrentSince Aug 26, 2025 Accepting new patients

Locations

3100 Princeton Pike
Ste 1I
Lawrenceville, NJ 08648
Phone (609) 240-3126

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1184073983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 RYDERS LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162769",
            "telephone_number": "732-455-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 RYDERS LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162769",
            "telephone_number": "732-455-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINZON",
        "first_name": "PAULINA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "37LC00210800",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00210800",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00488500",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.