Individual provider Active NPI

Lisa P. Levens, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1831538230
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.002415 Issued in IL
Practice address
3717 N Ravenswood Ave Ste 140
Chicago, IL 60613-1164
Phone
(773) 484-8343
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.002415 IL Primary

Addresses

Primary practice location

3717 N Ravenswood Ave Ste 140
Chicago, IL 60613-1164

Mailing address

PO Box 942
Wilmette, IL 60091-0942
Phone (773) 484-8343

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
180.002415ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
LPL Counseling Professional CurrentSince Jun 9, 2024 Accepting new patients

Locations

1131 Central Ave
Ste 14
Wilmette, IL 60091
Phone (773) 484-8343

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1831538230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 942",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600910942",
            "telephone_number": "773-484-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 N RAVENSWOOD AVE STE 140",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131164",
            "telephone_number": "773-484-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENS",
        "first_name": "LISA",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.002415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.