Individual provider Active NPI

Jennifer Levine, LCPC

  • Mental Health Counselor
  • Pacific Palisades, CA
National Provider Identifier
1376026609
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.13717 Issued in IL
Practice address
15515 W Sunset Blvd Unit 117
Pacific Palisades, CA 90272-3530
Phone
(310) 428-0232
NPI assigned
Sep 12, 2018
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.014134 IL
Mental Health Counselor 101YM0800X 180.13717 IL Primary

Addresses

Primary practice location

15515 W Sunset Blvd Unit 117
Pacific Palisades, CA 90272-3530

Mailing address

15515 W Sunset Blvd Unit 117
Pacific Palisades, CA 90272-3530
Phone (310) 428-0232

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
178.014134ILMDMental Health Counselor
180.13717ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Levine Behavioral Health LLC CurrentSince Oct 6, 2024 Accepting new patients
Levine Therapy, Licensed Professional Clinical Counselor, PC Mental Health Current Accepting new patients
Catalyst Clinical Group, Inc PastSince Sep 17, 2018 Accepting new patients
Collins Clinical Group, P.C. Past Accepting new patients

Organizations & group practices 4

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1376026609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15515 W SUNSET BLVD UNIT 117",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723530",
            "telephone_number": "310-428-0232",
            "fax_number": "310-388-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15515 W SUNSET BLVD UNIT 117",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723530",
            "telephone_number": "310-428-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.014134",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.13717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Palisades, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.