Individual provider Active NPI

Janie Titus Levis, PH.D., LPCC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1497869176
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC 3258 Issued in NM
Practice address
4233 Montgomery Blvd NE
Suite 200-W
Albuquerque, NM 87109-6749
Phone
(505) 884-8040
Fax
(505) 884-3230
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LPCC 3258 NM Primary

Addresses

Primary practice location

4233 Montgomery Blvd NE
Suite 200-W
Albuquerque, NM 87109-6749

Mailing address

4233 Montgomery Blvd NE
Suite 200-W
Albuquerque, NM 87109-6749
Phone (505) 884-8040

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPCC 3258NMMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497869176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 MONTGOMERY BLVD NE",
            "address_2": "SUITE 200-W",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096749",
            "telephone_number": "505-884-8040",
            "fax_number": "505-884-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 MONTGOMERY BLVD NE",
            "address_2": "SUITE 200-W",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096749",
            "telephone_number": "505-884-8040",
            "fax_number": "505-884-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIS",
        "first_name": "JANIE",
        "middle_name": "TITUS",
        "name_prefix": "Mrs.",
        "credential": "PH.D., LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "LPCC 3258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.