Active NPI
Levi B Funk, M.ED, LPC
- Mental Health Counselor
- New Lexington, OH
National Provider Identifier
1306402995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.1700478
- Practice address
- 1375 Commerce Dr
New Lexington, OH 43764-9511 - Phone
- (740) 342-5154
- Fax
- (740) 342-6704
- NPI assigned
- May 20, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.1700478 | OH | Primary |
Addresses
Primary practice location
1375 Commerce Dr
New Lexington, OH 43764-9511
Mailing address
2845 Bell St
Zanesville, OH 43701-1720
Phone (740) 454-9766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0349389 | Medicaid | OH |
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5338 Meadow Lane CT
Sheffield Village, OH 44035-1469
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1700478 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1306402995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2845 BELL ST",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437011720",
"telephone_number": "740-454-9766",
"fax_number": "740-588-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 COMMERCE DR",
"city": "NEW LEXINGTON",
"state": "OH",
"postal_code": "437649511",
"telephone_number": "740-342-5154",
"fax_number": "740-342-6704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "LEVI",
"middle_name": "B",
"credential": "M.ED, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-20",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1700478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0349389",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Lexington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.