Individual provider Active NPI

Joseph Kowalow, PHD, MA, LMFTA

  • Marriage & Family Therapist
  • Carmel, IN
National Provider Identifier
1194077628
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
85000103A Issued in IN
Practice address
2215 E 151St St Apt 4
Carmel, IN 46033-7777
Phone
(858) 213-3935
NPI assigned
Oct 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 85000103A IN Primary

Addresses

Primary practice location

2215 E 151St St Apt 4
Carmel, IN 46033-7777

Mailing address

2215 E 151St St Apt 4
Carmel, IN 46033-7777
Phone (858) 213-3935

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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
85000103AINMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1194077628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E 151ST ST APT 4",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337777",
            "telephone_number": "858-213-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E 151ST ST APT 4",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337777",
            "telephone_number": "858-213-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALOW",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PHD, MA, LMFTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "85000103A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.