Individual provider Active NPI

Levi Rahsan Stansberry

  • Addiction (Substance Use Disorder) Counselor
  • Long Beach, CA
National Provider Identifier
1295598456
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
R1545010124 Issued in CA
Practice address
2120 W Williams St
Long Beach, CA 90810-3636
Phone
(323) 802-3673
NPI assigned
Jan 31, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1545010124 CA Primary

Addresses

Primary practice location

2120 W Williams St
Long Beach, CA 90810-3636

Mailing address

4067 Hardwick St # 240
Lakewood, CA 90712-2350
Phone (323) 802-3673

Other practice location 1

9124 S Western Ave
Los Angeles, CA 90047-3518
Phone (323) 802-3673

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

LicenseStateTypeSpecialty
R1545010124CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Resources United Sharing Hope Inc. Current Accepting new patients

Locations

4067 Hardwick St
Lakewood, CA 90712
Phone (562) 999-2829

Organizations & group practices 1

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": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1295598456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4067 HARDWICK ST # 240",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122350",
            "telephone_number": "323-802-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W WILLIAMS ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908103636",
            "telephone_number": "323-802-3673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9124 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900473518",
            "country_code": "US",
            "telephone_number": "323-802-3673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANSBERRY",
        "first_name": "LEVI",
        "middle_name": "RAHSAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-31",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1545010124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.