Individual provider Active NPI

Amy B. Levin, M.H.C.,CASAC

  • Mental Health Counselor
  • Peekskill, NY
National Provider Identifier
1689913386
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005137-1 Issued in NY
Practice address
221 Pomeroy St
Peekskill, NY 10566-3527
Phone
(917) 817-2820
NPI assigned
Jan 31, 2013
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 25008 NY
Mental Health Counselor 101YM0800X 005137-1 NY Primary

Addresses

Primary practice location

221 Pomeroy St
Peekskill, NY 10566-3527

Mailing address

221 Pomeroy St
Peekskill, NY 10566-3527
Phone (917) 817-2820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240606002337 NY Practitioner - Mental Health Counselor 7012459993 Practice locations: Peekskill, NY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

221 Pomeroy St
Peekskill, NY 10566-3527
Phone (917) 817-2820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25008NYMDAddiction (Substance Use Disorder) Counselor
005137-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1689913386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 POMEROY ST",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105663527",
            "telephone_number": "917-817-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 POMEROY ST",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105663527",
            "telephone_number": "917-817-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "AMY",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "M.H.C.,CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "25008",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005137-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peekskill, NY

Sources for this page

Verify at the official NPI Registry.