Larry Koziol, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH0001868 Issued in FL

Practice address

8030 Peters Rd
Suite D106
Plantation, FL 33324-4038

Phone

(954) 475-9503

Fax

(954) 476-2369

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hiaah PC

  • Mental Health Counselor
  • Brookfield, CT
  • NPI 1891434577

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114064557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 PETERS RD",
            "address_2": "SUITE D106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244038",
            "telephone_number": "954-475-9503",
            "fax_number": "954-476-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 PETERS RD",
            "address_2": "SUITE D106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244038",
            "telephone_number": "954-475-9503",
            "fax_number": "954-476-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZIOL",
        "first_name": "LARRY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH0001868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "Z2587",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Kornblum
• Christi Koshy
• Elizabeth Ann Kossak, D.D.S.
• Ruthanne Kouri, OTRL
• Aminia Koza, COTA/L
• Kozy Kove Assisted Living Facility
• Daniel Christopher Krahn, PTA
• David Roy Kramer, M.D.
• Nicole Samantha Kramer, LCSW
• Neil Kravitz

• Mental Health Counselor in Plantation, FL
• Providers in Plantation, FL by specialty
• Mental Health Counselor in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.