Active NPI
Debra Segi-Kovach, LCSW, LCSW
- Professional Counselor
- Sun City Center, FL
National Provider Identifier
1548879653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- SW39688
- Practice address
- 1628 Woodmar Dr
Sun City Center, FL 33573-6409 - Phone
- (813) 634-3285
- NPI assigned
- Jul 24, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | SW39688 | FL | Primary |
Addresses
Primary practice location
1628 Woodmar Dr
Sun City Center, FL 33573-6409
Mailing address
1628 Woodmar Dr
Sun City Center, FL 33573-6409
Phone (813) 634-3285
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 |
|---|---|---|---|
| SW39688 | FL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1548879653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1628 WOODMAR DR",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335736409",
"telephone_number": "813-634-3285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 WOODMAR DR",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335736409",
"telephone_number": "813-634-3285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGI-KOVACH, LCSW",
"first_name": "DEBRA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-24",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "SW39688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City Center, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.