Individual provider Active NPI

Jessie Levin Vinik, M.S., LCPC

  • Mental Health Counselor
  • Bethesda, MD
National Provider Identifier
1417251182
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC4769 Issued in MD
Practice address
6917 Arlington Rd
Suite 222
Bethesda, MD 20814-5211
Phone
(301) 233-8091
NPI assigned
Jan 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC4769 MD Primary

Addresses

Primary practice location

6917 Arlington Rd
Suite 222
Bethesda, MD 20814-5211

Mailing address

6917 Arlington Rd
Suite 222
Bethesda, MD 20814-5211

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

State licenses

LicenseStateTypeSpecialty
LC4769MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1417251182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 ARLINGTON RD",
            "address_2": "SUITE 222",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 ARLINGTON RD",
            "address_2": "SUITE 222",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145211",
            "telephone_number": "301-233-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINIK",
        "first_name": "JESSIE",
        "middle_name": "LEVIN",
        "credential": "M.S., LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC4769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.