Individual provider Active NPI

Zachary J Koszyk, LCPC

  • Professional Counselor
  • Arlington Heights, IL
National Provider Identifier
1083261572
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.015486 Issued in IL
Practice address
3345 N Arlington Heights Rd Ste E
Arlington Heights, IL 60004-1591
Phone
(847) 577-1501
NPI assigned
Aug 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.015486 IL Primary

Addresses

Primary practice location

3345 N Arlington Heights Rd Ste E
Arlington Heights, IL 60004-1591

Mailing address

3345 N Arlington Heights Rd Ste E
Arlington Heights, IL 60004-1591
Phone (847) 528-1462

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

LicenseStateTypeSpecialty
180.015486ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake-Cook Psychologists and Counseling Associates CurrentSince Sep 5, 2023 Accepting new patients

Locations

3345 N Arlington Heights Rd
Ste E
Arlington Heights, IL 60004

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.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1083261572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 N ARLINGTON HEIGHTS RD STE E",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041591",
            "telephone_number": "847-528-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 N ARLINGTON HEIGHTS RD STE E",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041591",
            "telephone_number": "847-577-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSZYK",
        "first_name": "ZACHARY",
        "middle_name": "J",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-20",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.