Individual provider Active NPI

Jennifer Kovach, LPC

  • Professional Counselor
  • Westminster, CO
National Provider Identifier
1669953113
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0018422 Issued in CO
Practice address
2000 West 120TH Ave Unit 13
Westminster, CO 80234
Phone
(720) 881-6454
Fax
(720) 881-7455
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0018422 CO
Professional Counselor 101YP2500X LPC.0018422 CO Primary

Addresses

Primary practice location

2000 West 120TH Ave Unit 13
Westminster, CO 80234

Mailing address

3758 E 104TH Ave # 675
Thornton, CO 80233-4434
Phone (720) 881-6454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241030001738 CO Practitioner - Mental Health Counselor 1658804588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12021 Pennsylvania St
Suite 108
Thornton, CO 80241-3151
Phone (720) 881-6454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0018422COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neurowellness Center PLLC Professional CurrentSince Sep 16, 2024 Accepting new patients

Locations

3758 E 104th Ave
Thornton, CO 80233
Phone (970) 444-2892

12021 Pennsylvania St
Ste 108
Thornton, CO 80241
Phone (720) 257-9263

2000 W 120th Ave
Ste 13
Westminster, CO 80234
Phone (720) 240-6584

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": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1669953113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3758 E 104TH AVE # 675",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334434",
            "telephone_number": "720-881-6454",
            "fax_number": "720-881-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WEST 120TH AVE UNIT 13",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80234",
            "telephone_number": "720-881-6454",
            "fax_number": "720-881-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACH",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2023-05-10",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0018422",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0018422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.