Active NPI
Michelle Lindsay Kozimko, LPC
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1083101844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11884
- Practice address
- 1751 S 8TH St # B
Colorado Springs, CO 80905-1926 - Phone
- (719) 471-1816
- NPI assigned
- Apr 17, 2018
- 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 | 11884 | CO | Primary |
Addresses
Primary practice location
1751 S 8TH St # B
Colorado Springs, CO 80905-1926
Mailing address
4221 Pine Lake PT
Colorado Springs, CO 80923-4497
Phone (719) 246-3966
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11884 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1083101844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4221 PINE LAKE PT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809234497",
"telephone_number": "719-246-3966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 S 8TH ST # B",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809051926",
"telephone_number": "719-471-1816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZIMKO",
"first_name": "MICHELLE",
"middle_name": "LINDSAY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-17",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "11884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.