Individual provider Active NPI

Cynthia Levesque, LPC LMHC CADC3

  • Professional Counselor
  • Ashland, OR
National Provider Identifier
1255701991
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C5630 Issued in OR
Practice address
611 Siskiyou Blvd Ste 8
Ashland, OR 97520-2151
Phone
(541) 482-1718
Fax
(541) 482-0964
NPI assigned
Oct 6, 2015
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X C5630 OR Primary

Addresses

Primary practice location

611 Siskiyou Blvd Ste 8
Ashland, OR 97520-2151

Mailing address

PO Box 5
Medford, OR 97501-0001
Phone (541) 482-1718

Other practice location 1

295 E Main St Ste 11
Ashland, OR 97520-1848
Phone (541) 631-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C5630ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Options for Southern Oregon CurrentSince Jan 1, 2024 Accepting new patients
Options for Southern Oregon CurrentSince Jan 1, 2024 Accepting new patients
Kolpia Counseling Service Addiction (Substance Use Disorder) Past Accepting new patients

Locations

611 Siskiyou Blvd
Ste 8
Ashland, OR 97520
Phone (541) 482-1718

1215 SW G St
Grants Pass, OR 97526
Phone (541) 244-4109

200 Beatty St
Medford, OR 97501
Phone (541) 414-0914

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1255701991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010001",
            "telephone_number": "541-482-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SISKIYOU BLVD STE 8",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202151",
            "telephone_number": "541-482-1718",
            "fax_number": "541-482-0964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 E Main St Ste 11",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OR",
            "postal_code": "975201848",
            "country_code": "US",
            "telephone_number": "541-631-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVESQUE",
        "first_name": "CYNTHIA",
        "credential": "LPC LMHC CADC3",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.