Active NPI
Nicole Kovalchin
- Counselor
- Middleburg Heights, OH
National Provider Identifier
1700574647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 17951 Jefferson Park Rd Ste 100
Middleburg Heights, OH 44130-8439 - Phone
- (440) 879-8517
- NPI assigned
- Apr 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
17951 Jefferson Park Rd Ste 100
Middleburg Heights, OH 44130-8439
Mailing address
4101 Bailey Ave
Cleveland, OH 44113-3819
Phone (330) 703-7423
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformation Wellness LLC | Current | Accepting new patients |
Locations
17951 Jefferson Park Rd
Ste 100
Middleburg Heights, OH 44130
Phone (440) 879-8517
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.
-
- Mental Health Counselor
- Middleburg Heights, OH
- NPI 1033854658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1700574647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 BAILEY AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441133819",
"telephone_number": "330-703-7423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17951 JEFFERSON PARK RD STE 100",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441308439",
"telephone_number": "440-879-8517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVALCHIN",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-27",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleburg Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.