Active NPI
Brandon Covey, LPCC
- Professional Counselor
- Alliance, OH
National Provider Identifier
1568069029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2404423
- Practice address
- 1844 W State St
Alliance, OH 44601-5771 - Phone
- (330) 493-4553
- Fax
- (330) 493-3761
- NPI assigned
- Oct 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.2002740-TRNE | OH | |
| Professional Counselor | 101YP2500X | E.2404423 | OH | Primary |
Addresses
Primary practice location
1844 W State St
Alliance, OH 44601-5771
Mailing address
624 Market Ave N
Canton, OH 44702-1017
Phone (330) 493-4553
Other practice location 1
624 Market Ave N
Canton, OH 44702-1017
Phone (330) 493-4553 ext. 108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
624 Market Ave N
Canton, OH 44702-1017
Phone (330) 493-4553
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2002740-TRNE | OH | MD | Counselor |
| E.2404423 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Rising Behavioral Healthcare and Recovery, Inc | Current | Accepting new patients | |
| Phoenix Rising Behavioral Healthcare and Recovery Inc | Current | Accepting new patients |
Locations
1844 W State St
Alliance, OH 44601
Phone (330) 493-4553
624 Market Ave N
Canton, OH 44702
Phone (330) 454-7066
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Canton, OH
- NPI 1891737292
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1710238613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1568069029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 MARKET AVE N",
"city": "CANTON",
"state": "OH",
"postal_code": "447021017",
"telephone_number": "330-493-4553",
"fax_number": "330-493-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1844 W STATE ST",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446015771",
"telephone_number": "330-493-4553",
"fax_number": "330-493-3761"
}
],
"practiceLocations": [
{
"address_1": "624 Market Ave N",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "447021017",
"country_code": "US",
"telephone_number": "330-493-4553 x108",
"fax_number": "330-493-3761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COVEY",
"first_name": "BRANDON",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-07",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.2002740-TRNE",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2404423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alliance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.