Individual provider Active NPI

Natalie Marie Kovish, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1326270927
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 5176 Issued in FL
Practice address
4570 Saint Johns Ave
Jacksonville, FL 32210-1848
Phone
(904) 389-4009
Fax
(904) 389-1189
NPI assigned
Aug 14, 2009
Last updated
Aug 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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 MH 5176 FL Primary

Addresses

Primary practice location

4570 Saint Johns Ave
Jacksonville, FL 32210-1848

Mailing address

3954 Sierra Madre Dr S
Jacksonville, FL 32217-4018
Phone (904) 374-0728

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
MH 5176FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Counseling, Inc Mental Health 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250208000000",
    "number": "1326270927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3954 SIERRA MADRE DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174018",
            "telephone_number": "904-374-0728",
            "fax_number": "904-381-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 SAINT JOHNS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101848",
            "telephone_number": "904-389-4009",
            "fax_number": "904-389-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVISH",
        "first_name": "NATALIE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 5176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.