Individual provider Active NPI

Kathleen Levy, MS. LMFT

  • Marriage & Family Therapist
  • Wakefield, RI
National Provider Identifier
1801800115
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
054 Issued in RI
Practice address
24 Salt Pond Rd Ste B4
Wakefield, RI 02879-4320
Phone
(401) 788-9500
Fax
(401) 788-9500
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 054 RI Primary

Addresses

Primary practice location

24 Salt Pond Rd Ste B4
Wakefield, RI 02879-4320

Mailing address

71 Wild Flower TRL
Wakefield, RI 02879-1437
Phone (401) 788-9500

Other identifiers 3

IdentifierTypeStateIssuer
22379-7OtherRIBLUE CROSS BLUE SHIELD RI
62-51957OtherRIUNITED HEALTH CARE
KL56146MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20250808001264 RI Practitioner - Marriage and Family Therapist 3678071727 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054RIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen Levy LMFT LLC Marriage & Family Therapist CurrentSince Jun 3, 2025 Accepting new patients

Locations

24 Salt Pond Rd
Ste B4
Wakefield, RI 02879
Phone (401) 783-1310

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1801800115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 WILD FLOWER TRL",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028791437",
            "telephone_number": "401-788-9500",
            "fax_number": "401-788-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD STE B4",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794320",
            "telephone_number": "401-788-9500",
            "fax_number": "401-788-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "KATHLEEN",
        "credential": "MS. LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "RI",
            "license": "054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD RI",
            "identifier": "22379-7",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH  CARE",
            "identifier": "62-51957",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KL56146",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.