| David J Kovalchick, | |
|
1501 Madison Rd, Walnut Hills, OH 45206-1706 | |
| (513) 354-7100 | |
| (513) 354-7115 |
| Full Name | David J Kovalchick |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 1501 Madison Rd, Walnut Hills, Ohio |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225535362 | NPI | - | NPPES |
| 00000 | Other | OH | LICENSURE BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | C.2305002 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | E.2505314 (Ohio) | Primary |
| Entity Name | Greater Cincinnati Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588626097 PECOS PAC ID: 3870498355 Enrollment ID: O20031208000060 |
| Mailing Address | Practice Location Address |
|---|---|
| David J Kovalchick, 1501 Madison Rd, Walnut Hills, OH 45206-1706 Ph: (513) 354-7100 | David J Kovalchick, 1501 Madison Rd, Walnut Hills, OH 45206-1706 Ph: (513) 354-7100 |
Frederick Anderson, QMHS BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Madison Rd, Walnut Hills, OH 45206 Phone: 513-354-5200 | |
Krista Lyons, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Madison Rd, Walnut Hills, OH 45206 Phone: 513-354-5200 | |
Jessica Shamblin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Madison Rd, Walnut Hills, OH 45206 Phone: 513-354-5200 Fax: 513-354-5331 | |
James Stentz, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Madison Rd, Walnut Hills, OH 45206 Phone: 513-354-1321 | |
Kelly Smith-trondle, PCC Counselor Medicare: May Accept Medicare Assignments Practice Location: 1501 Madison Rd, Walnut Hills, OH 45206 Phone: 513-354-7323 | |
Jessica Hanekamp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Madison Rd, Walnut Hills, OH 45206 Phone: 513-354-5200 | |
Steven Francis Gehler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Madison Rd, Walnut Hills, OH 45206 Phone: 513-354-7010 |