Individual provider Active NPI

Victor Kovalev, MA, LPC, NCC

  • Professional Counselor
  • Hamilton Square, NJ
National Provider Identifier
1053468181
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00005100 Issued in NJ
Practice address
2121 Highway 33
Lexington Square Commons
Hamilton Square, NJ 08690-1740
Phone
(609) 324-9806
Fax
(609) 324-9806
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 37PC00005100 NJ Primary

Addresses

Primary practice location

2121 Highway 33
Lexington Square Commons
Hamilton Square, NJ 08690-1740

Mailing address

13 Surry CT
Columbus, NJ 08022-1723
Phone (609) 324-9806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37PC00005100NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053468181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SURRY CT",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080221723",
            "telephone_number": "609-324-9806",
            "fax_number": "609-324-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 HIGHWAY 33",
            "address_2": "LEXINGTON SQUARE COMMONS",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086901740",
            "telephone_number": "609-324-9806",
            "fax_number": "609-324-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALEV",
        "first_name": "VICTOR",
        "name_prefix": "Mr.",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00005100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton Square, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.