Individual provider Active NPI

Gabriel Kovach

  • Peer Specialist
  • Newton Falls, OH
National Provider Identifier
1972332435
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
APS.004806 Issued in OH
Practice address
100 Superior St
Newton Falls, OH 44444-1745
Phone
(330) 953-0243
NPI assigned
Jul 31, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X APS.004806 OH Primary

Addresses

Primary practice location

100 Superior St
Newton Falls, OH 44444-1745

Mailing address

5760 Patriot Blvd
Austintown, OH 44515-1170
Phone (330) 953-0243

Other practice location 1

5760 Patriot Blvd
Austintown, OH 44515-1170
Phone (330) 953-0243

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
APS.004806OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
On Demand Counseling LLC CurrentSince Aug 4, 2024 Accepting new patients

Locations

100 Superior St
Newton Falls, OH 44444
Phone (330) 270-8610

5760 Patriot Blvd
Youngstown, OH 44515
Phone (330) 270-8610

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.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1972332435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 PATRIOT BLVD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151170",
            "telephone_number": "330-953-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SUPERIOR ST",
            "city": "NEWTON FALLS",
            "state": "OH",
            "postal_code": "444441745",
            "telephone_number": "330-953-0243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5760 Patriot Blvd",
            "address_purpose": "LOCATION",
            "city": "Austintown",
            "state": "OH",
            "postal_code": "445151170",
            "country_code": "US",
            "telephone_number": "330-953-0243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVACH",
        "first_name": "GABRIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.004806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.