Active NPI
Madison Levine, LMFT
- Marriage & Family Therapist
- Houston, TX
National Provider Identifier
1669926945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 204538
- Practice address
- 3200 Southwest Fwy Ste 2100
Houston, TX 77027-7525 - Phone
- (833) 208-7770
- NPI assigned
- Aug 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 204538 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | MT4677 | FL | |
| Marriage & Family Therapist | 106H00000X | MFT.0001766 | CO | |
| Marriage & Family Therapist | 106H00000X | 001615 | NY |
Addresses
Primary practice location
3200 Southwest Fwy Ste 2100
Houston, TX 77027-7525
Mailing address
3200 Southwest Fwy Ste 2100
Houston, TX 77027-7525
Phone (833) 208-7770
Other practice location 1
3109 W Mlk Blvd Ste 350
Tampa, FL 33607-6208
Phone (833) 208-7770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0023701 | Medicaid | NJ | |
| 1669926945 | Medicaid | TX |
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 |
|---|---|---|---|
| 001615 | NY | MD | Behavioral Analyst |
| MFT.0001766 | CO | MD | Marriage & Family Therapist |
| MT4677 | FL | MD | Marriage & Family Therapist |
| 204538 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imagine Pediatrics of Florida LLC | Mental Health | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/19956/brand/1/csg/1/fhir/r4
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": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1669926945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 SOUTHWEST FWY STE 2100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770277525",
"telephone_number": "833-208-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SOUTHWEST FWY STE 2100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770277525",
"telephone_number": "833-208-7770"
}
],
"practiceLocations": [
{
"address_1": "3109 W Mlk Blvd Ste 350",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076208",
"country_code": "US",
"telephone_number": "833-208-7770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVINE",
"first_name": "MADISON",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-04",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "204538",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT4677",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "MFT.0001766",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "001615",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0023701",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669926945",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.