Active NPI
Kevin Levitt
- Professional Counselor
- Boulder, CO
National Provider Identifier
1568286540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0020064
- Practice address
- 708 39TH St
Boulder, CO 80303-2511 - Phone
- (303) 931-1149
- NPI assigned
- Nov 14, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0020064 | CO | Primary |
Addresses
Primary practice location
708 39TH St
Boulder, CO 80303-2511
Mailing address
708 39TH St
Boulder, CO 80303-2511
Phone (303) 931-1149
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 |
|---|---|---|---|
| 0020064 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1568286540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 39TH ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032511",
"telephone_number": "303-931-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 39TH ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032511",
"telephone_number": "303-931-1149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVITT",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-14",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0020064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.