Organization Active NPI

Levine Counseling & Consulting, Inc.

  • Professional Counselor
  • Brookfield, WI
National Provider Identifier
1700100898
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3099-125 Issued in WI
Legal business name
LEVINE COUNSELING & CONSULTING, INC.
Practice address
17100 W Bluemound Rd
Ste. 204
Brookfield, WI 53005-5950
Phone
(262) 391-5752
Fax
(262) 754-3712
NPI assigned
Mar 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
Dr. Christine Mary Levine, PSY.D.
Title
President
Phone
(262) 391-5752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 3099-125 WI Primary

Addresses

Primary practice location

17100 W Bluemound Rd
Ste. 204
Brookfield, WI 53005-5950

Mailing address

17100 W Bluemound Rd Ste 204
Brookfield, WI 53005-5950
Phone (262) 391-5752

Other identifiers 1

IdentifierTypeStateIssuer
43553600MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1700100898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 W BLUEMOUND RD STE 204",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055950",
            "telephone_number": "262-391-5752",
            "fax_number": "262-754-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 W BLUEMOUND RD",
            "address_2": "STE. 204",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055950",
            "telephone_number": "262-391-5752",
            "fax_number": "262-754-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVINE COUNSELING & CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-391-5752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3099-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43553600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.