Organization Active NPI

Covington Clinic LLC

  • Primary Care Nurse Practitioner
  • Covington, IN
National Provider Identifier
1447168562
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
COVINGTON CLINIC LLC
Practice address
318 4TH St
Covington, IN 47932-1225
Phone
(217) 637-5172
NPI assigned
Aug 31, 2026
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
TWO ROADS WELLNESS CLINIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Jessica Nemecz, LCPC, LMHC
Title
Ceo
Phone
(217) 637-5172

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

318 4TH St
Covington, IN 47932-1225

Mailing address

318 4TH St Ste B
Covington, IN 47932-1275
Phone (217) 637-5172

National Provider Directory

National Provider Directory

Locations

318 4th St
Ste B
Covington, IN 47932
Phone (765) 585-4899

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1447168562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 4TH ST STE B",
            "city": "COVINGTON",
            "state": "IN",
            "postal_code": "479321275",
            "telephone_number": "217-637-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 4TH ST",
            "city": "COVINGTON",
            "state": "IN",
            "postal_code": "479321225",
            "telephone_number": "217-637-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TWO ROADS WELLNESS CLINIC, LLC",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "NEMECZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-637-5172",
        "authorized_official_credential": "LCPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.