Individual provider Active NPI

Susan Jensen Kovaka, LPC

  • Professional Counselor
  • Dublin, OH
National Provider Identifier
1770222986
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2505199 Issued in OH
Practice address
7251 Sawmill Rd
Dublin, OH 43016-7406
Phone
(614) 766-0161
NPI assigned
Jun 4, 2022
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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 E.2505199 OH Primary

Addresses

Primary practice location

7251 Sawmill Rd
Dublin, OH 43016-7406

Mailing address

275 Thames CT
London, OH 43140-9519
Phone (502) 727-2871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250428000883 OH Practitioner - Mental Health Counselor 3870019466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7251 Sawmill Rd
Suite 150
Dublin, OH 43016-1693
Phone (614) 766-0161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Ohio, Inc CurrentSince Mar 25, 2025 Accepting new patients
Optum Behavioral Care of Ohio, Inc. CurrentSince Mar 25, 2025 Accepting new patients

Locations

1434 N Court St
Circleville, OH 43113
Phone (614) 766-0161

4624 Sawmill Rd
Columbus, OH 43220
Phone (614) 456-4490

7251 Sawmill Rd
Ste 150
Dublin, OH 43016
Phone (614) 766-0161

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": "1654300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1770222986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 THAMES CT",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409519",
            "telephone_number": "502-727-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 SAWMILL RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167406",
            "telephone_number": "614-766-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAKA",
        "first_name": "SUSAN",
        "middle_name": "JENSEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-04",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2505199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.