Individual provider Active NPI

Janice Bloom Levitt, M.S.

  • Professional Counselor
  • Lutherville Timonium, MD
National Provider Identifier
1306945282
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC0276 Issued in MD
Practice address
1407 York Rd Ste 301
Lutherville Timonium, MD 21093-6054
Phone
(443) 858-0541
Fax
(410) 321-7906
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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 LC0276 MD Primary

Addresses

Primary practice location

1407 York Rd Ste 301
Lutherville Timonium, MD 21093-6054

Mailing address

1407 York Rd Ste 301
Lutherville Timonium, MD 21093-6054
Phone (443) 858-0541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605003900 MD Practitioner - Mental Health Counselor 8022474311 Practice locations: Roland Park, MD

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Baltimore, MD 21210
Phone (443) 858-0541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1306945282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 YORK RD STE 301",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210936054",
            "telephone_number": "443-858-0541",
            "fax_number": "410-321-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 YORK RD STE 301",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210936054",
            "telephone_number": "443-858-0541",
            "fax_number": "410-321-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITT",
        "first_name": "JANICE",
        "middle_name": "BLOOM",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC0276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville Timonium, MD

Sources for this page

Verify at the official NPI Registry.