Individual provider Active NPI

Amber Renee Levanetz

  • Professional Counselor
  • Sun Prairie, WI
National Provider Identifier
1225418486
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3220-226 Issued in WI
Practice address
2337 Effingham Way
Sun Prairie, WI 53590-3705
Phone
(608) 215-3035
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 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 3220-226 WI Primary

Addresses

Primary practice location

2337 Effingham Way
Sun Prairie, WI 53590-3705

Mailing address

2337 Effingham Way
Sun Prairie, WI 53590-3705
Phone (608) 215-3035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3220-226WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1225418486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 EFFINGHAM WAY",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535903705",
            "telephone_number": "608-215-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 EFFINGHAM WAY",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535903705",
            "telephone_number": "608-215-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVANETZ",
        "first_name": "AMBER",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3220-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

Verify at the official NPI Registry.