Individual provider Active NPI

Jennifer Lynn Kovacs, ST

  • Speech-Language Pathologist
  • Youngstown, OH
National Provider Identifier
1801924451
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP7398 Issued in OH
Practice address
2959 Canfield Rd
Youngstown, OH 44511-2800
Phone
(330) 799-6298
Fax
(330) 799-4867
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP7398 OH Primary

Addresses

Primary practice location

2959 Canfield Rd
Youngstown, OH 44511-2800

Mailing address

111 Griswold Dr
Boardman, OH 44512-2826
Phone (330) 758-1967

Other identifiers 1

IdentifierTypeStateIssuer
000000316648OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090707000138 OH Practitioner - Qualified Speech Language Pathologist 1850442740 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP7398OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Choice LLC Speech-Language Pathologist CurrentSince Oct 1, 2009 Accepting new patients
Tu Dor Home Therapies Inc Speech-Language Pathologist Past Accepting new patients
Tu Dor Home Therapies Inc Speech-Language Pathologist Past Accepting new patients
Southwoods Rehabilitation LLC Speech-Language Pathologist Past Accepting new patients
Lock and Key ABA Therapy Group Past Accepting new patients
Tudor Home Therapies Inc Speech-Language Pathologist Past Accepting new patients

Locations

8561 Market St
Youngstown, OH 44512
Phone (330) 953-2383

Organizations & group practices 6

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801924451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GRISWOLD DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122826",
            "telephone_number": "330-758-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 CANFIELD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445112800",
            "telephone_number": "330-799-6298",
            "fax_number": "330-799-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "ST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP7398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000316648",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.