Organization Active NPI

Levine Therapy, Licensed Professional Clinical Counselor, PC

  • Mental Health Counselor
  • Manhattan Beach, CA
National Provider Identifier
1457105249
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LEVINE THERAPY, LICENSED PROFESSIONAL CLINICAL COUNSELOR, PC
Practice address
3012 Walnut Ave
Manhattan Beach, CA 90266-2413
Phone
(310) 428-0232
Fax
(310) 388-4678
NPI assigned
Apr 16, 2024
Last updated
Apr 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Jenny Levine, LPCC
Title
Owner/Therapist
Phone
(310) 428-0232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

3012 Walnut Ave
Manhattan Beach, CA 90266-2413

Mailing address

1601 N Sepulveda Blvd # 621
Manhattan Beach, CA 90266-5111
Phone (310) 428-0232

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1457105249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N SEPULVEDA BLVD # 621",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665111",
            "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": "3012 WALNUT AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662413",
            "telephone_number": "310-428-0232",
            "fax_number": "310-388-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVINE THERAPY, LICENSED PROFESSIONAL CLINICAL COUNSELOR, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "310-428-0232",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.