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

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: November 01, 2026.

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
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Justin Levy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vibrant Life Therapy LLC
1.2 mi
Marriage & Family Therapist
2608 BLAISDELL AVE
Minneapolis, MN 55408
  • Reassigned Medicare billing, Minnesota enrollment
  • 4 clinicians in this Medicare group
NPI 1417543877 (651) 208-9409

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Justin Levy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Levy reassigns Medicare benefits to Vibrant Life Therapy LLC (Minneapolis, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Levy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Levy accept?

Health plans from HealthPartners list Justin Levy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 12 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.