Individual provider Active NPI

Bilal Kosovac, MS, LMHC, NCC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1811658339
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH19759 Issued in FL
Practice address
7545 Centurion Pkwy Ste 104
Jacksonville, FL 32256-4118
Phone
(904) 490-0760
NPI assigned
Jan 6, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH19759 FL Primary

Addresses

Primary practice location

7545 Centurion Pkwy Ste 104
Jacksonville, FL 32256-4118

Mailing address

7545 Centurion Pkwy Ste 104
Jacksonville, FL 32256-4118
Phone (904) 490-0760

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH19759FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1811658339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 CENTURION PKWY STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564118",
            "telephone_number": "904-490-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 CENTURION PKWY STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564118",
            "telephone_number": "904-490-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSOVAC",
        "first_name": "BILAL",
        "credential": "MS, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.