Active NPI
Jed Michael Kovach, MSW LCSW
- Clinical Social Worker
- Montrose, CO
National Provider Identifier
1265507560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 350
- Practice address
- 2130 E Main St
Montrose, CO 81401 - Phone
- (970) 252-3200
- Fax
- (970) 252-3208
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 350 | CO | Primary |
Addresses
Primary practice location
2130 E Main St
Montrose, CO 81401
Mailing address
PO Box 1208
Montrose, CO 81402
Phone (970) 252-3200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350 | CO | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265507560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1208",
"city": "MONTROSE",
"state": "CO",
"postal_code": "81402",
"telephone_number": "970-252-3200",
"fax_number": "970-252-3208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 E MAIN ST",
"city": "MONTROSE",
"state": "CO",
"postal_code": "81401",
"telephone_number": "970-252-3200",
"fax_number": "970-252-3208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACH",
"first_name": "JED",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MSW LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montrose, CO
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.