Joseph Alexander Covington Jr., B.A.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C033850715 Issued in CA

Practice address

2550 West Clinton Ave, R, S, Y, D, P
Fresno, CA 93705-9370

Phone

(559) 417-5992

NPI assigned

Nov 23, 2011

Last updated

Jul 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1649547399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937267029",
            "telephone_number": "559-229-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WEST CLINTON AVE, R, S, Y, D, P",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937059370",
            "telephone_number": "559-417-5992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2772 MLK Jr. Blvd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93776",
            "country_code": "US",
            "telephone_number": "559-265-4800 x20185",
            "fax_number": "559-455-5980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 M St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937211808",
            "country_code": "US",
            "telephone_number": "559-264-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3707 E Shields Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937267029",
            "country_code": "US",
            "telephone_number": "559-229-2940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COVINGTON",
        "first_name": "JOSEPH",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-23",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C033850715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCAPP",
            "identifier": "C033850715",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.