Individual provider Active NPI

Genevieve Hickey Covington, BCBA

  • Behavior Analyst
  • Atlantic Beach, FL
National Provider Identifier
1699083667
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0114101 Issued in FL
Practice address
997 Atlantic Blvd
Atlantic Beach, FL 32233
Phone
(904) 647-1849
NPI assigned
Sep 23, 2010
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0114101 FL Primary
Developmental Therapist 222Q00000X NU

Addresses

Primary practice location

997 Atlantic Blvd
Atlantic Beach, FL 32233

Mailing address

997 Atlantic Blvd
Atlantic Beach, FL 32233-3311
Phone (904) 647-1849

Other practice location 1

9141 Cypress Green Dr
Jacksonville, FL 32256-2013
Phone (904) 647-1849

Other names 1

  • Genevieve Hickey Other name

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

LicenseStateTypeSpecialty
0114101FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Behavioral Solutions CurrentSince Jan 19, 2025 Accepting new patients
Bloom Behavioral Solutions, Inc. CurrentSince Jan 19, 2025 Accepting new patients

Locations

997 Atlantic Blvd
Jacksonville, FL 32233
Phone (904) 647-1849

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1699083667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 ATLANTIC BLVD",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322333311",
            "telephone_number": "904-647-1849",
            "fax_number": "904-647-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 ATLANTIC BLVD",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "32233",
            "telephone_number": "904-647-1849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9141 Cypress Green Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322562013",
            "country_code": "US",
            "telephone_number": "904-647-1849",
            "fax_number": "904-647-2625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKEY COVINGTON",
        "first_name": "GENEVIEVE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0114101",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENEVIEVE",
            "last_name": "HICKEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlantic Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.