Active NPI
Michael Levandoski, SAC-IT
- Addiction (Substance Use Disorder) Counselor
- Waukesha, WI
National Provider Identifier
1467169045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 18276-130
- Practice address
- 325 Sentinel Dr
Waukesha, WI 53189-7551 - Phone
- (262) 549-9449
- NPI assigned
- Nov 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18276-130 | WI | Primary |
Addresses
Primary practice location
325 Sentinel Dr
Waukesha, WI 53189-7551
Mailing address
W1211 Lakeview LN Lot 23
Sullivan, WI 53178-9795
Phone (920) 342-0542
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michael.levandoski@lsswis.org | Direct | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18276-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba LSS House of Hope
- Substance Abuse Rehabilitation Facility
- Waukesha, WI
- NPI 1528133071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1467169045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W1211 LAKEVIEW LN LOT 23",
"city": "SULLIVAN",
"state": "WI",
"postal_code": "531789795",
"telephone_number": "920-342-0542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 SENTINEL DR",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531897551",
"telephone_number": "262-549-9449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVANDOSKI",
"first_name": "MICHAEL",
"credential": "SAC-IT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "18276-130",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michael.levandoski@lsswis.org",
"affiliation": "Y",
"endpointDescription": "LSS email",
"affiliationName": "Lutheran Social Services of Wisconsin and Upper Michigan, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "325 Sentinel Dr",
"city": "Waukesha",
"state": "WI",
"country_code": "US",
"postal_code": "531897551",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.