Individual provider Active NPI

Susan Joan Legrand Levine, MS, LPC

  • Social Worker
  • Madison, WI
National Provider Identifier
1922014604
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2311-125 Issued in WI
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

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
42224000MedicaidWI

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

LicenseStateTypeSpecialty
2311-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Solutions LLC CurrentSince Apr 14, 2024 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.

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.

Verify at the official NPI Registry.