Active NPI
Samuel Edward Alpha Lewin, LLPC
- Counselor
- Saint Joseph, MI
National Provider Identifier
1295292977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401017168
- Practice address
- 3408 Niles Rd
Saint Joseph, MI 49085-8628 - Phone
- (269) 428-4789
- NPI assigned
- Feb 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401017168 | MI | Primary |
Addresses
Primary practice location
3408 Niles Rd
Saint Joseph, MI 49085-8628
Mailing address
640A Saint Joseph Ave
Berrien Springs, MI 49103-1603
Phone (305) 219-2978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401017168 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1295292977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640A SAINT JOSEPH AVE",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491031603",
"telephone_number": "305-219-2978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3408 NILES RD",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490858628",
"telephone_number": "269-428-4789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIN",
"first_name": "SAMUEL",
"middle_name": "EDWARD ALPHA",
"credential": "LLPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-28",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401017168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.