Healthcare Provider Details

I. General information

NPI: 1073981007
Provider Name (Legal Business Name): ANITA KOVACS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2015
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 MASSACHUSETTS AVE STE 4
CAMBRIDGE MA
02140-2100
US

IV. Provider business mailing address

2000 MASSACHUSETTS AVE STE 4
CAMBRIDGE MA
02140-2100
US

V. Phone/Fax

Practice location:
  • Phone: 857-201-5244
  • Fax:
Mailing address:
  • Phone: 857-201-5244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: