DUSTIN LEWIS LPC-IT
NPI 1629812953
Counselor - Professional in Madison, WI
Active since June 21, 2024
About Dustin Lewis Lpc-it NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DUSTIN LEWIS LPC-IT (NPI 1629812953) is an individual professional provider in Madison, Wisconsin, licensed in Wisconsin (7977226) and active in the NPI registry since June 2024. He maintains a secondary practice location in Madison.
NPPES Registry Identity
NPI1629812953
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDUSTIN LEWISCredential: LPC-IT
Location Address700 REGENT ST STE 300Madison, WI 53715-2634
Mailing Address700 Regent St Ste 300Madison, WI 53715-2634 · (608) 567-4465
Phone(608) 567-4465
Sole ProprietorNo
Enumeration DateJune 21, 2024
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1629812953 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 7977226
700 REGENT ST STE 300, Madison, WI 53715
Secondary Practice Location 1
Location 1440 Science Dr Ste 200Madison, WI 53711-1064 · Phone (608) 567-4465 ext. 133
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
Social Worker (Clinical)
700 REGENT ST STE 300
MADISON, WI 53715
MADISON, WI 53715
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629812953, enumerated as an "individual" on June 21, 2024.
The provider is located at 700 REGENT ST STE 300 MADISON, WI 53715 and the phone number is (608) 567-4465.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
