Amy H Kolakowski, LCSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

085657 Issued in NY

Practice address

101 Carpenter PL
Monroe, NY 10950-3515

Phone

(845) 782-0295

Fax

(845) 782-5164

NPI assigned

Jul 8, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Catholic Charities of Orange, Sullivan & Ulster

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Goshen, NY
  • NPI 1093875007
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1023459039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CARPENTER PL",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503515",
            "telephone_number": "845-782-0295",
            "fax_number": "845-782-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CARPENTER PL",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503515",
            "telephone_number": "845-782-0295",
            "fax_number": "845-782-5164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 N Country Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Mount Sinai",
            "state": "NY",
            "postal_code": "117661518",
            "country_code": "US",
            "telephone_number": "889-752-2256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLAKOWSKI",
        "first_name": "AMY",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "085657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miri Klein
• Rachel Klein, LMSW
• Samuel Klein, LMSW
• Solomon Eli Klein, O.D.
• Fredric Jay Kneller, D.D.S.
• Shari Koller, PA
• Kelly Kopp
• Mitchell Joseph Korn, P.T.
• Diana Kornberg
• Victoria Kowalski

• Addiction (Substance Use Disorder) Counselor in Monroe, NY
• Providers in Monroe, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.