Active NPI
Laura E Kowalski, LCPC
- Professional Counselor
- Saint Charles, IL
National Provider Identifier
1003242603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180008166
- Practice address
- 1121 E Main St Ste 405
Saint Charles, IL 60174-2296 - Phone
- (630) 344-9623
- Fax
- (331) 422-3230
- NPI assigned
- Sep 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 180 008166 | IL | |
| Professional Counselor | 101YP2500X | 180008166 | IL | Primary |
Addresses
Primary practice location
1121 E Main St Ste 405
Saint Charles, IL 60174-2296
Mailing address
1121 E Main St Ste 405
Saint Charles, IL 60174-2296
Phone (630) 344-9623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 18, 2024 through Jan 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180008166 | IL | MD | Professional Counselor |
| 180 008166 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growing Through Life Therapy LLC | Professional | Current | Accepting new patients |
Locations
1121 E Main St
Ste 405
St Charles, IL 60174
Phone (331) 222-7915
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- St Charles, IL
- NPI 1134898950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1003242603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 E MAIN ST STE 405",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601742296",
"telephone_number": "630-344-9623",
"fax_number": "331-422-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 E MAIN ST STE 405",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601742296",
"telephone_number": "630-344-9623",
"fax_number": "331-422-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALSKI",
"first_name": "LAURA",
"middle_name": "E",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-16",
"last_updated": "2021-12-06",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "180 008166",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180008166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.