Individual provider Active NPI

Andrew Levine, LPC

  • Professional Counselor
  • Louisville, MS
National Provider Identifier
1194050161
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1491 Issued in MS
Practice address
16220 W Main St
Louisville, MS 39339-2639
Phone
(662) 773-9377
Fax
(662) 773-9025
NPI assigned
Oct 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 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 1491 MS Primary

Addresses

Primary practice location

16220 W Main St
Louisville, MS 39339-2639

Mailing address

302 N Jackson St
Starkville, MS 39759-2504
Phone (662) 323-9261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20240205003794 MS Practitioner - Mental Health Counselor 0941643191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Region Seven Mental Health Intellectual Disabilities CommGroup PAC ID 3072531953, 12 clinicians

Practice addresses (Care Compare)

302 N Jackson St
Starkville, MS 39759-2504
Phone (601) 323-9261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Region Seven Mental Health Idd Commission Mental Health CurrentSince Nov 24, 2024 Accepting new patients
Region Seven Mental Health Intellectual Disabilities Comm CurrentSince Jan 1, 2024 Accepting new patients

Locations

16220 W Main St
Louisville, MS 39339
Phone (662) 773-9377

302 N Jackson St
Starkville, MS 39759
Phone (662) 323-9261

Organizations & group practices 2

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": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1194050161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N JACKSON ST",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592504",
            "telephone_number": "662-323-9261",
            "fax_number": "662-324-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392639",
            "telephone_number": "662-773-9377",
            "fax_number": "662-773-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "ANDREW",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-08",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, MS

Sources for this page

Verify at the official NPI Registry.