Provider Demographics
NPI:1033269634
Name:LEVIN, JONATHAN PETER (LMHC)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:PETER
Last Name:LEVIN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 MAIN ST.
Mailing Address - Street 2:STE. 16
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3187
Mailing Address - Country:US
Mailing Address - Phone:413-336-5665
Mailing Address - Fax:
Practice Address - Street 1:160 MAIN ST.
Practice Address - Street 2:STE. 16
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3187
Practice Address - Country:US
Practice Address - Phone:413-336-5665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4352101YM0800X
OK2981101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional