Organization Active NPI

Myh Library / Begin to Wake Therapy, LLC

  • Clinical Social Worker
  • South Bend, IN
National Provider Identifier
1215768635
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MYH LIBRARY / BEGIN TO WAKE THERAPY, LLC
Practice address
2314 Miami St
South Bend, IN 46614-1336
Phone
(574) 533-1234
Fax
(574) 375-4165
NPI assigned
Aug 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Ms. Lisa A Levin, LCSW
Title
Owner/Therapist
Phone
(743) 135-1374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2314 Miami St
South Bend, IN 46614-1336

Mailing address

733 E Victoria St
South Bend, IN 46614-1246
Phone (574) 313-1374

Other names 1

  • MyhL/BTWT Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1215768635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 E VICTORIA ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466141246",
            "telephone_number": "574-313-1374",
            "fax_number": "574-375-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 MIAMI ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466141336",
            "telephone_number": "574-533-1234",
            "fax_number": "574-375-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYH LIBRARY / BEGIN TO WAKE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "743-135-1374",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyhL/BTWT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.