IAN KOVAC (LPC, LMHC, MT-BC) – Mental Health Counselor, NPI 1033802160

IAN KOVAC (LPC, LMHC, MT-BC) is a healthcare provider. based in Oxford, Connecticut. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC, LMHC, MT-BC. They hold a License No. 12552 (MA). The NPI Number for IAN KOVAC (LPC, LMHC, MT-BC) is 1033802160

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
IAN KOVAC (LPC, LMHC, MT-BC)
NPI
1033802160
Phone
(203) 305-1580
Address
74 RIGGS ST
Enumeration Date
2 June 2023
Last Update Date
2 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2034832630
Graduation Year
2016 (10 years ago)
PAC ID
2668819178
Group Practice PAC ID
5193819308
Professional Enrollment ID
I20240320000514
Address ID
CT064056551BR14XXXWAYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:3State licenses:3Digital endpointsOther names

818 MENTAL HEALTH COUNSELOR in CT

Provider Addresses for IAN KOVAC (LPC, LMHC, MT-BC)

  • 74 RIGGS ST

    OXFORD, CT 064781208

    Phone: (203) 305-1580

    Type: Mailing

  • 14 SYCAMORE WAY

    BRANFORD, CT 064056551

    Phone: (203) 483-2630

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240320000514IMental Health CounselorCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06478)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193819308View full group profile
NameSpecialtyState
Clinical Social WorkerCT
Clinical Social WorkerCT
P S Y C H I A T R YCT
P S Y C H I A T R YNY
Nurse PractitionerFL
Clinical Social WorkerCT
Clinical Social WorkerCT
P S Y C H I A T R YCT
Clinical Social WorkerCT
Clinical PsychologistCT

Reviews

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Frequently asked questions

Can I use this page to confirm IAN KOVAC (LPC, LMHC, MT-BC)'s NPI?
Yes. IAN KOVAC (LPC, LMHC, MT-BC) is listed with NPI 1033802160 in the public NPI dataset.
Is IAN KOVAC (LPC, LMHC, MT-BC) still practicing?
IAN KOVAC (LPC, LMHC, MT-BC) is currently listed as active in the public NPI registry.
What is IAN KOVAC (LPC, LMHC, MT-BC)'s specialty?
The listing groups IAN KOVAC (LPC, LMHC, MT-BC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect IAN KOVAC (LPC, LMHC, MT-BC) on a map?
Expect Oxford, Connecticut as a primary anchor for IAN KOVAC (LPC, LMHC, MT-BC) unless the record lists multiple sites.
Is the information about IAN KOVAC (LPC, LMHC, MT-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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