Individual provider Active NPI

Joel A Covert

  • Clinical Social Worker
  • Mesa, AZ
National Provider Identifier
1477825008
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-14073 Issued in AZ
Practice address
2150 S Country Club Dr Ste 34
Mesa, AZ 85210-6885
Phone
(623) 200-6373
NPI assigned
Jan 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-14073 AZ Primary

Addresses

Primary practice location

2150 S Country Club Dr Ste 34
Mesa, AZ 85210-6885

Mailing address

2150 S Country Club Dr Ste 34
Mesa, AZ 85210-6885
Phone (623) 200-6373

Other practice location 1

1830 S Alma School Rd
Suite 112
Mesa, AZ 85210-3056
Phone (480) 730-6222 ext. 1212

Other practice location 2

1830 S Alma School Rd
Suite 112
Mesa, AZ 85210-3056
Phone (480) 730-6222 ext. 1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 2, 2018 through Jan 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-14073AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Counseling Collective & Psychiatry Current Accepting new patients
Professional Counseling Associates, LLC Clinical Past Accepting new patients
Arizona Psychology Consultants, Inc. Past Accepting new patients

Locations

2150 S Country Club Dr
Ste 34
Mesa, AZ 85210
Phone (480) 244-5243

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1477825008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 S COUNTRY CLUB DR STE 34",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106885",
            "telephone_number": "623-200-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S COUNTRY CLUB DR STE 34",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106885",
            "telephone_number": "623-200-6373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1830 S Alma School Rd",
            "address_2": "Suite 112",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852103056",
            "country_code": "US",
            "telephone_number": "480-730-6222 x1212",
            "fax_number": "480-889-5566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1830 S Alma School Rd",
            "address_2": "Suite 112",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852103056",
            "country_code": "US",
            "telephone_number": "480-730-6222 x1212",
            "fax_number": "480-889-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COVERT",
        "first_name": "JOEL",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-27",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-14073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.