Jerome Edward Kovacik, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

140335 Issued in OH

Practice address

7 Kenny CT
Milford, OH 45150-1626

Phone

(513) 485-5082

NPI assigned

Mar 12, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1457740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457740800000",
    "number": "1013378447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 KENNY CT",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501626",
            "telephone_number": "513-485-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 KENNY CT",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501626",
            "telephone_number": "513-485-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACIK",
        "first_name": "JEROME",
        "middle_name": "EDWARD",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-12",
        "last_updated": "2016-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "140335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L Kordis-Rubin, C-NP
• Steven M. Kordis, M.D.
• William John Kossenjans, P.A.-C
• William P Kotheimer, DC
• Nora Kovach, BCBA
• Shoba S Krishnan, M.D.
• Kroger Limited Partnership I
• Kroger Limited Partnership I
• Mary Kulakoski-Hoerr, LISW-S
• Auditi Kundu

• Addiction (Substance Use Disorder) Counselor in Milford, OH
• Providers in Milford, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2016; 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.