Active NPI
Jacqueline Lorraine Covatta, LPC
- Professional Counselor
- Phoenixville, PA
National Provider Identifier
1316349400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC007750
- Practice address
- 1041 W Bridge St
Phoenixville, PA 19460-4342 - Phone
- (610) 933-8110
- Fax
- (610) 933-7451
- NPI assigned
- Sep 19, 2014
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC007750 | PA | Primary |
Addresses
Primary practice location
1041 W Bridge St
Phoenixville, PA 19460-4342
Mailing address
1041 W Bridge St
Phoenixville, PA 19460-4342
Phone (610) 933-8110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC0077550 | Other | PA | PA LICENSE |
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 |
|---|---|---|---|
| PC007750 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illumination Counseling Services, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Malvern, PA
- NPI 1013566454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411084800000",
"number": "1316349400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 W BRIDGE ST",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194604342",
"telephone_number": "610-933-8110",
"fax_number": "610-933-7451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 W BRIDGE ST",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194604342",
"telephone_number": "610-933-8110",
"fax_number": "610-933-7451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVATTA",
"first_name": "JACQUELINE",
"middle_name": "LORRAINE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-19",
"last_updated": "2014-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC007750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "PC0077550",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.