Jason Lloyd Levine

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015364 Issued in NC

Practice address

5104 Reagan Dr Ste 13
Charlotte, NC 28206-1393

Phone

(704) 713-5455

NPI assigned

Apr 17, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Serenity Counseling of the Carolinas PLLC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1851932529
  NPD
• Hope Haven Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Charlotte, NC
  • NPI 1154545663
  NPD (past)

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1982267688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 ALLISON CT",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281468397",
            "telephone_number": "704-713-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 REAGAN DR STE 13",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282061393",
            "telephone_number": "704-713-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JASON",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "26118",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "CSAC-24507",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Levine Healthcare
• Levine Hearing LLC
• Amanda Sara Levine, MSW, LCSW
• Elissa Rosenfeld Levine, MD
• Janet Levine, LCMHC
• Jonathan Keith Levine, MD
• Joshua D Levine, M.D.
• Julie Lerner Levine, PSYD
• Justin Paul Levine, LCSW
• Madison Levine

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.