MR. ALAN KOVIN (NPI# 1710430665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710430665 |
| Entity Type | Individual |
| Full Name | MR. ALAN KOVIN |
| Other Name | MR. ALAN KOVIN |
| Credential | LASAC |
| Practice Address |
5017 N 62nd Ave Glendale AZ 85301-7317 |
| Practice Telephone | 6024779562 |
| Mailing Telephone | 6024779562 |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |
| 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) |
LASAC-13281 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 045584 | 05 |
| Street Address |
5017 N 62ND AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85301-7317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427470970 | Arizona Creative Works | Community/Behavioral Health | 5017 N 62nd Ave, Glendale, AZ 85301-7317 | 2014-01-16 |
| 1407309198 | Jeanne Kainec | Social Worker | 5017 N 62nd Ave, Glendale, AZ 85301-7317 | 2016-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164051900 | Stateserv Medical of Phoenix LLC | Durable Medical Equipment & Medical Supplies | 5234 W. Missouri, Glendale, AZ 85301 | 2020-04-03 |
| 1366988933 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5148 W. Frier Dr, Glendale, AZ 85301 | 2017-01-06 |
| 1306227830 | Sage Counseling, Inc. | Community/Behavioral Health | 6610 N. 47th Avenue, Suites 6, 7 & 8, Glendale, AZ 85301 | 2015-06-10 |
| 1477802023 | Lori Wyke | Specialist/Technologist | 7301 N. 58th Avenue, Glendale, AZ 85301 | 2012-08-29 |
| 1144581257 | Jerry Harold Brue | Pharmacist | 7772 N 52nd Dr, Glendale, AZ 85301 | 2012-06-05 |
| 1558632935 | Jasmine Rojas | Licensed Practical Nurse | 7301 N. 58th Ave., Glendale Elem. Dist 40, Glendale, AZ 85301 | 2012-01-18 |
| 1184950438 | Victoria Joan Petti | Physical Therapist | 5125 N. 58th Ave, Glendale, AZ 85301 | 2009-10-21 |
| 1598907479 | Westside Speech & Language Services | Clinic/Center | 7415 N. 59th Ave, Glendale, AZ 85301 | 2009-03-24 |
| 1992940241 | Lorraine Pimentel Montes | Specialist | 4441 W. Bethany Home Rd, Glendale, AZ 85301 | 2008-12-15 |
| 1770739922 | Patricia Lee Click | Social Worker | 5400 W. Northern Avenue, Suite 120, Glendale, AZ 85301 | 2008-08-07 |
| Find all providers in zip 85301 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509833 | Helen C Tuwei | Counselor | 4449 W Keating Cir, Glendale, AZ 85308-3549 | 2020-02-05 |
| 1902469547 | Nustart Inc | Counselor | 6608 San Fernando Rd, Glendale, CA 91201-1703 | 2019-04-18 |
| 1528529856 | Empowerment Behavioral Care LLC | Counselor | 6448 W Colter St, Glendale, AZ 85301-6527 | 2019-03-28 |
| 1881168813 | Jessica Martinez | Counselor | 632 Naranja Dr, Glendale, CA 91206-2522 | 2019-01-12 |
| 1710459359 | David Ibrahim | Counselor | 100 N Brand Blvd Ste 412, Glendale, CA 91203-2614 | 2018-12-20 |
| 1104308683 | David Gleghorn | Counselor | 6610 N 47th Ave Ste 678, Glendale, AZ 85301-4163 | 2018-08-31 |
| 1033590344 | Eryn Elizabeth Cloutier | Counselor | 7468 W Irma Ln, Glendale, AZ 85308-9662 | 2015-06-11 |
| 1326439811 | Robert D Klimek | Counselor | 4425 W Olive Ave Ste 200&140, Glendale, AZ 85302-3843 | 2015-02-05 |
| 1932549938 | Narine Jugharyan | Counselor | 501 E. Harvard Street, Unit A, Glendale, CA 91205 | 2013-07-05 |
| 1316385040 | Victor Rivera | Counselor | 4544 San Fernando Rd Ste 201, Glendale, CA 91204-5015 | 2013-06-04 |
| Find all providers in GLENDALE | ||||
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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.