MR. EDWARD JOHN KOVACS III (NPI# 1245605336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245605336 |
| Entity Type | Individual |
| Full Name | MR. EDWARD JOHN KOVACS III |
| Credential | CADC-INTERN |
| Practice Address |
344 E 100 S Ste 301 Slc UT 84111-1727 |
| Mailing Address |
5800 Vegas Dr Las Vegas NV 89108-2468 |
| Practice Telephone | 8013224257 |
| Mailing Telephone | 7027244276 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
01433 - INTERN | NV | Behavioral Health & Social Service Providers |
| Street Address |
344 E 100 S STE 301 |
| City | SLC |
| State | UT |
| Zip Code | 84111-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772140 | Shelley J Sippel | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Slc, UT 84111-1727 | 2020-08-25 |
| 1225544372 | Joshua Edward Callister | Marriage & Family Therapist | 344 E 100 S Ste 301, Slc, UT 84111-1727 | 2017-12-26 |
| 1013421791 | Samantha Anderson | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Slc, UT 84111-1727 | 2017-11-17 |
| 1720599616 | Cristhian Julio Zafra | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Slc, UT 84111-1727 | 2017-10-18 |
| 1811406879 | Diane M Sanchez | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Slc, UT 84111-1727 | 2017-09-21 |
| 1235655606 | Jessica Louis | Student in an Organized Health Care Education/Training Program | 344 E 100 S Ste 301, Slc, UT 84111-1727 | 2017-08-17 |
| 1437675071 | Marissa Miller | Counselor | 344 E 100 S Ste 301, Slc, UT 84111-1727 | 2017-08-16 |
| 1285159707 | Lisa Amaya | Community/Behavioral Health | 344 E 100 S Ste 301, Slc, UT 84111-1727 | 2017-08-04 |
| 1902328271 | Taylor Jane Welty | Community Health Worker | 344 E 100 S Ste 301, Slc, UT 84111-1727 | 2017-07-08 |
| 1801317136 | Jasmine Slade | Community Health Worker | 344 E 100 S Ste 301, Slc, UT 84111-1727 | 2017-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
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| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649599051 | Arvel James Brinkerhoff | Counselor | 68 S. 600 E., Slc, UT 84102 | 2010-05-25 |
| 1780805978 | Andrea Amelia Borrego | Counselor | 344 E 100 S, Slc, UT 84111 | 2007-05-02 |
| 1891339495 | Olga Quinonez Eames | Counselor | 344 E 100 S, Slc, UT 84111-1700 | 2019-11-06 |
| 1922592997 | Debra Jean Gibson | Counselor | 5689 S Redwood Rd Unit 30, Slc, UT 84123-5499 | 2018-06-21 |
| 1740774710 | Richard E Tanski | Counselor | 5689 S Redwood Rd Unit 30, Slc, UT 84123-5499 | 2018-06-21 |
| 1437675071 | Marissa Miller | Counselor | 344 E 100 S Ste 301, Slc, UT 84111-1727 | 2017-08-16 |
| 1922541010 | Matthew Easthope | Counselor | 344 E 100 S, Ste 301, Slc, UT 84111-1700 | 2016-11-22 |
| 1881068146 | Andrea Joyce Azoff | Counselor | 344 E 100 S, Suite 301, Slc, UT 84111-1700 | 2015-11-23 |
| 1467823229 | Steven Hatch | Counselor | 344 E 100 S, Ste 301, Slc, UT 84111-1700 | 2015-10-19 |
| 1104294156 | Lauren Greco | Counselor | 857 E 200 S, Slc, UT 84102-2317 | 2015-09-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.