Individual provider Active NPI

Kenneth Allan Levesque, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hickory, NC
National Provider Identifier
1730768896
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5014268 Issued in NC
Practice address
315 1St Ave NW Ste 201
Unit 210
Hickory, NC 28601-6122
Phone
(980) 506-7585
Fax
(949) 844-2015
NPI assigned
Apr 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5014268 NC Primary

Addresses

Primary practice location

315 1St Ave NW Ste 201
Unit 210
Hickory, NC 28601-6122

Mailing address

4431 Jim Beard Rd
Maiden, NC 28650-8586
Phone (980) 506-7585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210602001378 NC Practitioner - Nurse Practitioner 0941609531 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Sondermind PCGroup PAC ID 0547795791, 64 clinicians

Practice addresses (Care Compare)

2530 Meridian Pkwy
FL 3
Durham, NC 27713-5272
Phone (866) 630-0966

Merit-based Incentive Payment System (MIPS)

Final score
98.23 of 100Reported as group
Quality
88.23
Improvement activities
40
Cost
76.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5014268NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Health Fund Inc Current Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Step Up Care of North Carolina PC CurrentSince Jun 1, 2024 Accepting new patients
Green Monarch Health Practice, Inc. Psychiatric/Mental Health CurrentSince Apr 11, 2021 Accepting new patients
The Mental Health Fund Inc CurrentSince May 1, 2021 Accepting new patients
Sondermind PC Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients

Locations

2530 Meridian Pkwy
Fl 3
Durham, NC 27713
Phone (919) 389-7316

315 1st Ave NW
Ste 201
Hickory, NC 28601
Phone (980) 506-7585

327 1st Ave NW
Hickory, NC 28601
Phone (828) 695-2125

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 6

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1730768896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 JIM BEARD RD",
            "city": "MAIDEN",
            "state": "NC",
            "postal_code": "286508586",
            "telephone_number": "980-506-7585",
            "fax_number": "949-844-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 1ST AVE NW STE 201",
            "address_2": "UNIT 210",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016122",
            "telephone_number": "980-506-7585",
            "fax_number": "949-844-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVESQUE",
        "first_name": "KENNETH",
        "middle_name": "ALLAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5014268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.