Active NPI
Jessica Korva, LADC
- Addiction (Substance Use Disorder) Counselor
- Duluth, MN
National Provider Identifier
1124840558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 5 N. 3Rd Ave W
Suite 310
Duluth, MN 55802 - Phone
- (218) 772-2368
- Fax
- (218) 727-2427
- NPI assigned
- Oct 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
5 N. 3Rd Ave W
Suite 310
Duluth, MN 55802
Mailing address
5 N. 3Rd Ave W
Suite 310
Duluth, MN 55802
Phone (218) 772-2368
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1124840558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 N. 3RD AVE W",
"address_2": "SUITE 310",
"city": "DULUTH",
"state": "MN",
"postal_code": "55802",
"telephone_number": "218-772-2368",
"fax_number": "218-727-2427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 N. 3RD AVE W",
"address_2": "SUITE 310",
"city": "DULUTH",
"state": "MN",
"postal_code": "55802",
"telephone_number": "218-772-2368",
"fax_number": "218-727-2427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORVA",
"first_name": "JESSICA",
"credential": "LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.