TLJ, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TLJ, INC.

Practice address

25W Old Westport Rd
Dartmouth, MA 02747-2513

Phone

(508) 982-4755

Fax

(877) 308-2202

NPI assigned

Mar 14, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Ilene G Levine, LMHCNPI 1689623480

Title

Owner

Phone

(508) 982-4755

Specialties & licenses 1

Addresses

Other names 1

• Ilene G Levine LMHC Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ilene G Levine, LMHC

  • Mental Health Counselor
  • Dartmouth, MA
  • NPI 1689623480
  Medicare reassignment NPD Authorized official
• Brian C Gamboa

  • Mental Health Counselor
  • Assonet, MA
  • NPI 1942510052
  NPD (past)

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1467911990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ONYX DR",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473521",
            "telephone_number": "508-982-4755",
            "fax_number": "877-308-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25W OLD WESTPORT RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027472513",
            "telephone_number": "508-982-4755",
            "fax_number": "877-308-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLJ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "ILENE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-982-4755",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ilene G Levine LMHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Brighter Side Adult Medical Day Health Center
• The Cedars
• The Children'S Wellness Center
• The Stop & Shop Supermarket Company LLC
• Danielle Thibodeau, EDUACATOR
• Kyle A Tokarz, DO
• Rebecca Tomlinson, NURSE
• Town of Dartmouth
• Town of Dartmouth
• James Peter Tracey, M.D.

• Professional Counselor in Dartmouth, MA
• Providers in Dartmouth, MA by specialty
• Professional Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.