Robert Anthony Kovalesky, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT20931 Issued in CA

Practice address

18250 Roscoe Blvd
Northridge, CA 91325-4226

Phone

(818) 324-6892

NPI assigned

Jan 29, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1326791476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17259 HALSEY ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442422",
            "telephone_number": "818-324-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254226",
            "telephone_number": "818-324-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALESKY",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT20931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELING",
            "identifier": "OTHER",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy A Konick, DC
• Shaunt Korkounian, PA
• Babak Kosari, D.P.M.
• Raffi A Kotoyan, MD
• Michael E Koury, DDS
• Norinda Kremicki, NP
• Shant Krikorian, PHARMD
• Jay Arackal Krishnan, M.D
• Michael David Krugel, RN
• Hannah Ku, OD

• Marriage & Family Therapist in Northridge, CA
• Providers in Northridge, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.