Eti Levkovich

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

108248-01 Issued in NY

Practice address

156 Beach 9TH St
Far Rockaway, NY 11691-5636

Phone

(718) 686-3149

Fax

(718) 686-4149

NPI assigned

Mar 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1578158986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 BEACH 9TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915636",
            "telephone_number": "718-686-3149",
            "fax_number": "718-686-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 BEACH 9TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915636",
            "telephone_number": "718-686-3149",
            "fax_number": "718-686-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVKOVICH",
        "first_name": "ETI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "108248-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIMITED PERMIT",
            "identifier": "108248-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamil Lemberanskiy, M.D.
• Abigail Lesser, R.N.
• Ayola Lester
• Elke Lynn Levenson, M.A.,CCC-SLP
• Jordana Melissa Levine
• Alexandra Levy, R.N.
• Deborah Lee Lewis, LMSW
• Mona M Lewis, RN
• Renee Lewis
• Shari Gail Leyman, LMSW

• Mental Health Counselor in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.