Active NPI
Julia D Kozusko, MA
- Professional Counselor
- Eagle, CO
National Provider Identifier
1053348102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4347
- Practice address
- 137 Howard Street
Eagle, CO 81631 - Phone
- (970) 328-6969
- Fax
- (970) 328-6329
- NPI assigned
- Jun 26, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4347 | CO | Primary |
Addresses
Primary practice location
137 Howard Street
Eagle, CO 81631
Mailing address
PO Box 40
Glenwood Springs, CO 81602-0040
Phone (970) 945-2241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4347 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053348102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816020040",
"telephone_number": "970-945-2241",
"fax_number": "970-945-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 HOWARD STREET",
"city": "EAGLE",
"state": "CO",
"postal_code": "81631",
"telephone_number": "970-328-6969",
"fax_number": "970-328-6329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZUSKO",
"first_name": "JULIA",
"middle_name": "D",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "4347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.