Covenant Counseling Associates, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

1258 Issued in WI

Legal business name

COVENANT COUNSELING ASSOCIATES, INC.

Practice address

4801 Washington Rd
Kenosha, WI 53144-4206

Phone

(262) 654-5255

Fax

(262) 681-7791

NPI assigned

Aug 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Rick D. Czechowicz, M.A.

Title

President

Phone

(262) 681-7163

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1467644922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SEPTEMBER DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534021856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 WASHINGTON RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531444206",
            "telephone_number": "262-654-5255",
            "fax_number": "262-681-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT COUNSELING ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "CZECHOWICZ",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-681-7163",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "1258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam E Corona, LPC, CSAC
• Rebekah Costello, DO
• Christina A Cotey, DPT
• Minnie Cotten-Beal
• Bailey Coutteau, CCC-SLP
• Alexandra Patrice Covert, LPC
• Stephanie Cowling-Schroeder, RDN CD
• Jeremy Cox, PTA
• Laura Cox, L.M.T., L.AC.
• Crabtree Property Management LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.