Individual provider Active NPI

David Korver, MA LPC

  • Professional Counselor
  • New Haven, CT
National Provider Identifier
1609591726
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5835 Issued in CT
Practice address
265 W Elm St
New Haven, CT 06515-2036
Phone
(712) 898-0260
NPI assigned
Oct 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5835 CT Primary

Addresses

Primary practice location

265 W Elm St
New Haven, CT 06515-2036

Mailing address

265 W Elm St
New Haven, CT 06515-2036
Phone (712) 898-0260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208002720 CT Practitioner - Mental Health Counselor 5698118487 Reassigns benefits to 1 organization
Practice locations: New Haven, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5835CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Connecticut Christian Counseling Center Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

8 Wakeman Rd
Fairfield, CT 06824
Phone (203) 255-5078

Organizations & group practices 1

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": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1609591726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 W ELM ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152036",
            "telephone_number": "712-898-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 W ELM ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152036",
            "telephone_number": "712-898-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORVER",
        "first_name": "DAVID",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.