Active NPI
Susan Joan Legrand Levine, MS, LPC
- Social Worker
- Madison, WI
National Provider Identifier
1922014604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2311-125
- Practice address
- 725 Heartland TRL Ste 104
Madison, WI 53717-1976 - Phone
- (608) 843-3428
- Fax
- (888) 783-3165
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2311-125 | WI | |
| Social Worker | 104100000X | 2311-125 | WI | Primary |
Addresses
Primary practice location
725 Heartland TRL Ste 104
Madison, WI 53717-1976
Mailing address
725 Heartland TRL Ste 104
Madison, WI 53717-1976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42224000 | Medicaid | WI |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2311-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Solutions LLC | Current | Accepting new patients | |
| Counseling Solutions LTD | Past | Accepting new patients |
Locations
725 Heartland Trl
Ste 104
Madison, WI 53717
Phone (608) 843-3428
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1780737288
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1942053707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1922014604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 HEARTLAND TRL STE 104",
"city": "MADISON",
"state": "WI",
"postal_code": "537171976",
"fax_number": "888-783-3165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 HEARTLAND TRL STE 104",
"city": "MADISON",
"state": "WI",
"postal_code": "537171976",
"telephone_number": "608-843-3428",
"fax_number": "888-783-3165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGRAND LEVINE",
"first_name": "SUSAN",
"middle_name": "JOAN",
"name_prefix": "Mrs.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "2311-125",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "2311-125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42224000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.