Individual provider Active NPI

Janyl Kozelka

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1346745635
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1334-124 Issued in WI
Practice address
7818 Big Sky Dr
Madison, WI 53719-3524
Phone
(608) 230-6267
NPI assigned
Mar 28, 2018
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 631-228 WI
Marriage & Family Therapist 106H00000X 1334-124 WI Primary

Addresses

Primary practice location

7818 Big Sky Dr
Madison, WI 53719-3524

Mailing address

7818 Big Sky Dr
Madison, WI 53719-3524

Other practice location 1

4800 Ivywood Trl
Mc Farland, WI 53558-9433
Phone (608) 838-8999

Other practice location 2

5979 Siggelkow Rd
Mc Farland, WI 53558-9817
Phone (608) 838-8999

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
1334-124WIMDMarriage & Family Therapist
631-228WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Common Threads Family Resource Center Past Accepting new patients
Catholic Charities, Inc. Roman Catholic Diocese Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1346745635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7818 BIG SKY DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537193524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7818 BIG SKY DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537193524",
            "telephone_number": "608-230-6267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Ivywood Trl",
            "address_purpose": "LOCATION",
            "city": "Mc Farland",
            "state": "WI",
            "postal_code": "535589433",
            "country_code": "US",
            "telephone_number": "608-838-8999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5979 Siggelkow Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Farland",
            "state": "WI",
            "postal_code": "535589817",
            "country_code": "US",
            "telephone_number": "608-838-8999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZELKA",
        "first_name": "JANYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "631-228",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1334-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.