Individual provider Active NPI

Jennifer B Levine, LCMHC

  • Mental Health Counselor
  • Essex JCT, VT
National Provider Identifier
1962673509
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068-0000698 Issued in VT
Practice address
15 Pinecrest Dr Unit 3
Essex JCT, VT 05452-2936
Phone
(802) 316-8855
NPI assigned
Mar 21, 2008
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068-0000698 VT Primary

Addresses

Primary practice location

15 Pinecrest Dr Unit 3
Essex JCT, VT 05452-2936

Mailing address

PO Box 8123
Essex, VT 05451-8123
Phone (802) 316-8855

Other practice location 1

21 Carmichael St Ste 204
Essex, VT 05452-3186
Phone (802) 316-8855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131001830 VT Practitioner - Mental Health Counselor 7012360530 Practice locations: Jericho, VT; Essex, VT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21 Carmichael St
Suite 204
Essex, VT 05452-3186
Phone (802) 316-8855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Law

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1962673509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8123",
            "city": "ESSEX",
            "state": "VT",
            "postal_code": "054518123",
            "telephone_number": "802-316-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PINECREST DR UNIT 3",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054522936",
            "telephone_number": "802-316-8855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Carmichael St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Essex",
            "state": "VT",
            "postal_code": "054523186",
            "country_code": "US",
            "telephone_number": "802-316-8855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JENNIFER",
        "middle_name": "B",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex JCT, VT

Sources for this page

Verify at the official NPI Registry.