Level Up Therapy, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LEVEL UP THERAPY, PLLC

Practice address

4611 88TH St
Lubbock, TX 79424-4107

Phone

(806) 305-2012

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

Kirby Blair Wood, LPCNPI 1851801344

Title

Ceo/Therapist

Phone

(806) 789-5922

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kirby Blair Wood, LPC

  • Counselor
  • Lubbock, TX
  • NPI 1851801344

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1659979862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65737",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794645681",
            "telephone_number": "806-305-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 88TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794244107",
            "telephone_number": "806-305-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL UP THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "CEO/THERAPIST",
        "authorized_official_telephone_number": "806-789-5922",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Neal Leslie, D.D.S.
• Marsha Lester-Williams
• Scott Alan Letbetter Jr., M.D.
• Lulia Leul
• Susanna Levario, FNP-C
• Lewis D. Moore, OD., P.a.
• Amanda Lewis, M.D.
• Amelia Lewis, LMFT, LCDC-I
• Antrionette Karmisha Lewis
• Betty Malisa Lewis, F.N.P.

• Professional Counselor in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.