Jessi Krebs Kovalik, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

004970 Issued in CO

Practice address

703 San Clemente Dr
Colorado Springs, CO 80906-4940

Phone

(719) 351-2216

NPI assigned

Oct 31, 2018

Sex

Female

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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Talkspace Provider Network Co, PCGroup PAC ID 9335685502, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Networks

• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
• CO HMO
• CO HMO D-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Talkspace Provider Network Co, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1518747385

  CO

  Medicare reassignment Care Compare group
• Resilient Life Counseling Services, PLLC

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1497460901
  NPD Authorized official

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1013484716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 SAN CLEMENTE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064940",
            "telephone_number": "719-351-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 SAN CLEMENTE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064940",
            "telephone_number": "719-351-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALIK",
        "first_name": "JESSI",
        "middle_name": "KREBS",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "004970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher P Kovach, MD
• Hannah Kovach, MA, CCC-SLP
• Hannah Kovacs
• Koval Hearing Ventures Inc
• Eric Thomas Koval, RN, BSN, HCP
• Claire Ashlee Kovensky, BSN, RN
• Lukasz Maciej Kowalczyk, M.D.
• Robert M Kowalewski, M.D.
• Kevin Kowalski, PT
• Michelle Lindsay Kozimko, LPC

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.