Active NPI
Levine Behavioral Health LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
National Provider Identifier
1376251967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LEVINE BEHAVIORAL HEALTH LLC
- Practice address
- 1 E Erie St Ste 525-3022
Chicago, IL 60611-2740 - Phone
- (310) 428-0232
- Fax
- (310) 388-4678
- NPI assigned
- Nov 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenny Levine, LCPC
- Title
- Owner, Founder, Manager
- Phone
- (310) 428-0232
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
1 E Erie St Ste 525-3022
Chicago, IL 60611-2740
Mailing address
15515 W Sunset Blvd Unit 117
Pacific Palisades, CA 90272-3530
Phone (310) 428-0232
Other practice location 1
845 W Agatite Ave Apt 2G
Chicago, IL 60640-6116
Phone (310) 428-0232
National Provider Directory
National Provider DirectoryLocations
1 E Erie St
Ste 5253022
Chicago, IL 60611
Phone (310) 428-0232
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Pacific Palisades, CA
- NPI 1376026609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670544000000",
"number": "1376251967",
"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": "1 E ERIE ST STE 525-3022",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112740",
"telephone_number": "310-428-0232",
"fax_number": "310-388-4678"
}
],
"practiceLocations": [
{
"address_1": "845 W Agatite Ave Apt 2G",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606406116",
"country_code": "US",
"telephone_number": "310-428-0232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LEVINE BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-11",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "JENNY",
"authorized_official_title_or_position": "OWNER, FOUNDER, MANAGER",
"authorized_official_telephone_number": "310-428-0232",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.