Active NPI
David Covey Jr., LMFT
- Mental Health Counselor
- Chubbuck, ID
National Provider Identifier
1346370756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMFT-3659
- Practice address
- 4460 Kings Way Ste 2
Chubbuck, ID 83202-1900 - Phone
- (208) 237-1711
- Fax
- (208) 237-5192
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMFT-3659 | ID | Primary |
Addresses
Primary practice location
4460 Kings Way Ste 2
Chubbuck, ID 83202-1900
Mailing address
4460 Kings Way Ste 2
Chubbuck, ID 83202-1900
Phone (208) 237-1711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807197600 | Medicaid | ID |
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 |
|---|---|---|---|
| LMFT-3659 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center Counseling PSR | 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.
-
- Community/Behavioral Health Agency
- Chubbuck, ID
- NPI 1841417565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1346370756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4460 KINGS WAY STE 2",
"city": "CHUBBUCK",
"state": "ID",
"postal_code": "832021900",
"telephone_number": "208-237-1711",
"fax_number": "208-237-5192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4460 KINGS WAY STE 2",
"city": "CHUBBUCK",
"state": "ID",
"postal_code": "832021900",
"telephone_number": "208-237-1711",
"fax_number": "208-237-5192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVEY",
"first_name": "DAVID",
"name_suffix": "Jr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LMFT-3659",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807197600",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chubbuck, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.