Javar Levingston

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1952 SE 122ND Ave
Portland, OR 97233-1304

Phone

(503) 597-3908

NPI assigned

Jul 7, 2021

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Anafiel Soluna Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• New Narrative

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tigard, OR
  • NPI 1265595664
  NPD (past)

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1881265270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331304",
            "telephone_number": "503-597-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331304",
            "telephone_number": "503-597-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINGSTON",
        "first_name": "JAVAR",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2021-07-07",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANAFIEL",
            "last_name": "SOLUNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samantha Levine, N.D.
• Samara G Levine
• Shari Lee Levine, LMFT
• Simone Levine
• Sophie Ray Ireene Levine
• Elizabeth Levins, PHARMD
• Philip J Levinson, PH.D.
• Ethan Levitch, MD
• Erin Levitt
• Marc G Levitte, MD

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.