Individual provider Active NPI

Mark Kevin Levasseur, MS

  • Methadone Clinic
  • Mt Pleasant, MI
National Provider Identifier
1396378105
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Practice address
4273 Corporate Dr
Mt Pleasant, MI 48858-5321
Phone
(989) 953-4357
Fax
(989) 953-4358
NPI assigned
Feb 20, 2020
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NU Primary

Addresses

Primary practice location

4273 Corporate Dr
Mt Pleasant, MI 48858-5321

Mailing address

4273 Corporate Dr
Mt Pleasant, MI 48858-5321
Phone (989) 953-4357

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Therapeutic Consultants PC Methadone CurrentSince Feb 23, 2020 Accepting new patients
BHG Lxxxiii, LLC Methadone PastSince Jan 1, 2023 Accepting new patients

Locations

4273 Corporate Dr
Mt Pleasant, MI 48858
Phone (989) 953-4357

Organizations & group practices 2

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": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1396378105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 CORPORATE DR",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488585321",
            "telephone_number": "989-953-4357",
            "fax_number": "989-953-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4273 CORPORATE DR",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488585321",
            "telephone_number": "989-953-4357",
            "fax_number": "989-953-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVASSEUR",
        "first_name": "MARK",
        "middle_name": "KEVIN",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.