JUSTIN CHARLES LEVY LICSW
NPI 1063381028
Counselor - Mental Health in Minneapolis, MN

Q: What is Justin Levy's NPI number?

The NPI number for Justin Levy is 1063381028. It was assigned to this individual provider in the NPPES registry on October 30, 2025.

Q: What is Justin Levy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Justin Levy was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 30, 2025PECOS Enrolled

1612C W LAKE ST, MINNEAPOLIS, MN 55408(612) 202-9552 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Justin Charles Levy Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN CHARLES LEVY LICSW (NPI 1063381028) is an individual mental health provider in Minneapolis, Minnesota, licensed in Minnesota (32300) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063381028

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJUSTIN CHARLES LEVYCredential: LICSW

Location Address1612C W LAKE STMinneapolis, MN 55408-2549

Mailing Address2900 11th Ave S Apt 208Minneapolis, MN 55407-5814 · (612) 202-9552

Phone(612) 202-9552

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 30, 2025

NPPES CertifiedOctober 30, 2025

✔ NPI 1063381028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MN · 32300

1612C W LAKE ST, Minneapolis, MN 55408

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Charles Levy Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395223648

PECOS Enrollment IDI20260129000842

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Levy's NPI number?

The NPI number for Justin Levy is 1063381028. It was assigned to this individual provider in the NPPES registry on October 30, 2025.

Where is Justin Levy located?

Justin Levy practices at 1612C W Lake St, Minneapolis, MN 55408. The listed phone number is (612) 202-9552.

What is Justin Levy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Justin Levy enrolled in Medicare?

Yes. Justin Levy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Levy was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.