Individual provider Active NPI

Lawrence Edward Koves, LMHC

  • Mental Health Counselor
  • Port Saint Lucie, FL
National Provider Identifier
1265762389
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3034 Issued in FL
Practice address
2304 SE Round Table Dr
Port Saint Lucie, FL 34952-4710
Phone
(772) 626-5407
NPI assigned
Jan 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3034 FL Primary

Addresses

Primary practice location

2304 SE Round Table Dr
Port Saint Lucie, FL 34952-4710

Mailing address

2304 SE Round Table Dr
Port Saint Lucie, FL 34952-4710
Phone (772) 626-5407

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

LicenseStateTypeSpecialty
3034FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1265762389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 SE ROUND TABLE DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524710",
            "telephone_number": "772-626-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 SE ROUND TABLE DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524710",
            "telephone_number": "772-626-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVES",
        "first_name": "LAWRENCE",
        "middle_name": "EDWARD",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "3034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.