Individual provider Active NPI

Deborah Kovaleski, MA, LPC

  • Professional Counselor
  • Tempe, AZ
National Provider Identifier
1043098460
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1718 Issued in AZ
Practice address
3920 S Rural Rd Ste 112
Tempe, AZ 85282-5500
Phone
(480) 428-2944
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1718 AZ Primary

Addresses

Primary practice location

3920 S Rural Rd Ste 112
Tempe, AZ 85282-5500

Mailing address

3920 S Rural Rd Ste 112
Tempe, AZ 85282-5500
Phone (480) 428-2944

Other names 1

  • Deborah Pickell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20240117001994 AZ Practitioner - Mental Health Counselor 5092167874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aj Southwest Ventures IncGroup PAC ID 8224480090, 7 clinicians

Practice addresses (Care Compare)

3920 S Rural Rd
Suite 112
Tempe, AZ 85282-5500
Phone (480) 674-9220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1718AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aj Southwest Ventures Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

3920 S Rural Rd
Ste 112
Tempe, AZ 85282
Phone (480) 428-2944

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1043098460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 S RURAL RD STE 112",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825500",
            "telephone_number": "480-428-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 S RURAL RD STE 112",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825500",
            "telephone_number": "480-428-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALESKI",
        "first_name": "DEBORAH",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "1718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "PICKELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.