Individual provider Active NPI

Idil Levitas, LMFTA

  • Marriage & Family Therapist
  • Seattle, WA
National Provider Identifier
1538658992
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MG60842514 Issued in WA
Practice address
2366 Eastlake Ave E Ste 402
Seattle, WA 98102-3394
Phone
(503) 862-8244
NPI assigned
May 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MG60842514 WA Primary

Addresses

Primary practice location

2366 Eastlake Ave E Ste 402
Seattle, WA 98102-3394

Mailing address

5637 32ND Ave SW
Seattle, WA 98126-2915
Phone (301) 922-1428

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

LicenseStateTypeSpecialty
MG60842514WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Liberated Heart Counseling PLLC Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1538658992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5637 32ND AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262915",
            "telephone_number": "301-922-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 EASTLAKE AVE E STE 402",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023394",
            "telephone_number": "503-862-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITAS",
        "first_name": "IDIL",
        "name_prefix": "Ms.",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60842514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.