Individual provider Active NPI

Jenifer Levine

  • Professional Counselor
  • Crowley, LA
National Provider Identifier
1669909446
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8847 Issued in LA
Practice address
1325 Wright Ave Ste D
Crowley, LA 70526
Phone
(337) 514-5180
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT1449 LA
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X 8847 LA Primary

Addresses

Primary practice location

1325 Wright Ave Ste D
Crowley, LA 70526

Mailing address

1308 Graceland Ave
Abbeville, LA 70510-3844
Phone (337) 442-0661

Other practice location 1

1308 Graceland Ave
Abbeville, LA 70510-3844
Phone (337) 442-0661

Other practice location 2

1308 Graceland Ave
Abbeville, LA 70510-3844
Phone (337) 442-0661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904000126 LA Practitioner - Mental Health Counselor 5597204685 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT1449LAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Health Services Texas LLC CurrentSince Aug 16, 2024 Accepting new patients
Azalea Health Services CurrentSince Aug 16, 2024 Accepting new patients

Organizations & group practices 2

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1669909446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 GRACELAND AVE",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705103844",
            "telephone_number": "337-442-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WRIGHT AVE STE D",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "70526",
            "telephone_number": "337-514-5180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1308 Graceland Ave",
            "address_purpose": "LOCATION",
            "city": "Abbeville",
            "state": "LA",
            "postal_code": "705103844",
            "country_code": "US",
            "telephone_number": "337-442-0661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1308 Graceland Ave",
            "address_purpose": "LOCATION",
            "city": "Abbeville",
            "state": "LA",
            "postal_code": "705103844",
            "country_code": "US",
            "telephone_number": "337-442-0661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JENIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "MFT1449",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

Verify at the official NPI Registry.