Active NPI
Laura E Levine, MHC
- Mental Health Counselor
- Cranston, RI
National Provider Identifier
1972626760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC00136
- Practice address
- 1052 Park Ave
Cranston, RI 02910-3225 - Phone
- (401) 275-5039
- Fax
- (401) 946-9340
- NPI assigned
- Apr 9, 2007
- Last updated
- Sep 23, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CPC00214 | RI | |
| Mental Health Counselor | 101YM0800X | MHC00136 | RI | Primary |
Addresses
Primary practice location
1052 Park Ave
Cranston, RI 02910-3225
Mailing address
252 4TH St
Providence, RI 02906-3754
Phone (401) 383-0395
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPC00214 | RI | MD | Addiction (Substance Use Disorder) Counselor |
| MHC00136 | RI | MD | Mental Health Counselor |
Practice roles
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1972626760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 4TH ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029063754",
"telephone_number": "401-383-0395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1052 PARK AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029103225",
"telephone_number": "401-275-5039",
"fax_number": "401-946-9340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "LAURA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "MHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "CPC00214",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MHC00136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.