Active NPI
Edna M Covington, LCADC
- Addiction (Substance Use Disorder) Counselor
- Cherry Hill, NJ
National Provider Identifier
1205079415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 37LC00020400
- Practice address
- 19 E Ormond Ave
Cherry Hill, NJ 08034-2053 - Phone
- (856) 428-1300
- NPI assigned
- Apr 17, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 37LC00020400 | NJ | Primary |
Addresses
Primary practice location
19 E Ormond Ave
Cherry Hill, NJ 08034-2053
Mailing address
19 E Ormond Ave
Cherry Hill, NJ 08034-2053
Phone (856) 428-1300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T-4378 | Other | NJ | 174400000X |
| 37LC00020400 | Other | NJ | 101YA0400X |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00020400 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1205079415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 E ORMOND AVE",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080342053",
"telephone_number": "856-428-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 E ORMOND AVE",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080342053",
"telephone_number": "856-428-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVINGTON",
"first_name": "EDNA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LCADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-17",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00020400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "174400000X",
"identifier": "T-4378",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "101YA0400X",
"identifier": "37LC00020400",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.