Mindy Jacobson Levy, MCAT, ATR-BC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC001934 Issued in PA

Practice address

601 Summit Ave
Jenkintown, PA 19046-3238

Phone

(215) 570-4304

NPI assigned

Oct 15, 2006

Last updated

Dec 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1922198241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SUMMIT AVE",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463238",
            "telephone_number": "215-570-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SUMMIT AVE",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463238",
            "telephone_number": "215-570-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON LEVY",
        "first_name": "MINDY",
        "credential": "MCAT, ATR-BC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-15",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC001934",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC0181900",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1213901",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey Ivanoski, CRNP
• Tammy Lynn Jabarin, MSW,MT
• Carmella Jackson, LPC
• Monee Jackson
• Carl J Jacobsen Sr., CERTIFIED OPTICIAN A
• Lynn Calvin Jaeger, M.S.
• JDM Partners LLC (Jenkintown Dental Medicine)
• Frantz Allan Jean Baptiste
• Jeffrey S Grand, PSYD, PLLC
• Edward Jelesiewicz, C.R.N.P.

• Professional Counselor in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.