Individual provider Active NPI

Kristen Levey

  • Mental Health Counselor
  • Sparta, NJ
National Provider Identifier
1376248120
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00624100 Issued in NJ
Practice address
350 Sparta Ave Ste C2A
Sparta, NJ 07871-1123
Phone
(973) 726-4533
NPI assigned
Apr 3, 2023
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00189100 NJ
Mental Health Counselor 101YM0800X 37AC00624100 NJ Primary

Addresses

Primary practice location

350 Sparta Ave Ste C2A
Sparta, NJ 07871-1123

Mailing address

194 Overmount Ave Apt E
Woodland Park, NJ 07424-3258
Phone (973) 615-7089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20260211004364 NJ Practitioner - Mental Health Counselor 3476032103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeside Counseling Associates, LLCGroup PAC ID 0840568754, 26 clinicians

Practice addresses (Care Compare)

30 Moran St
Newton, NJ 07860-1832
Phone (973) 726-4533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00189100NJMDAddiction (Substance Use Disorder) Counselor
37AC00624100NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Counseling Associates, LLC Addiction (Substance Use Disorder) CurrentSince Jan 1, 2026 Accepting new patients

Locations

30 Moran St
Newton, NJ 07860
Phone (973) 579-3101

350 Sparta Ave
Ste C2A
Sparta, NJ 07871
Phone (973) 726-4533

9 Fishers Ln
Ste E
Sparta, NJ 07871
Phone (973) 600-3558

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, 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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1376248120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 OVERMOUNT AVE APT E",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243258",
            "telephone_number": "973-615-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SPARTA AVE STE C2A",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711123",
            "telephone_number": "973-726-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVEY",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00189100",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00624100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

Verify at the official NPI Registry.