Individual provider Active NPI

Jason Ian Levinson

  • Counselor
  • League City, TX
National Provider Identifier
1730059304
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
35026 Issued in TX
Practice address
1805 S Egret Bay Blvd Apt 2004
League City, TX 77573-6058
Phone
(713) 828-1734
NPI assigned
Nov 10, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 35026 TX Primary

Addresses

Primary practice location

1805 S Egret Bay Blvd Apt 2004
League City, TX 77573-6058

Mailing address

1805 S Egret Bay Blvd Apt 2004
League City, TX 77573-6058
Phone (713) 828-1734

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

LicenseStateTypeSpecialty
35026TXMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1730059304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 S EGRET BAY BLVD APT 2004",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736058",
            "telephone_number": "713-828-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 S EGRET BAY BLVD APT 2004",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736058",
            "telephone_number": "713-828-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINSON",
        "first_name": "JASON",
        "middle_name": "IAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "35026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.