Active NPI
James Charles Kowalski, LPC, MAC
- Mental Health Counselor
- Dunedin, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC003377
- Practice address
- 620 Edgewater Dr Unit 604
Dunedin, FL 34698-6965 - Phone
- (706) 835-6515
- Fax
- (706) 835-6515
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2066 | WV | |
| Mental Health Counselor | 101YM0800X | LPC4433 | NC | |
| Mental Health Counselor | 101YM0800X | LPC003377 | GA | Primary |
Addresses
Primary practice location
620 Edgewater Dr Unit 604
Dunedin, FL 34698-6965
Mailing address
620 Edgewater Dr Unit 604
Dunedin, FL 34698-6965
Phone (706) 835-6515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2801 Buford Hwy NE
Suite T10
Atlanta, GA 30329-2149
Phone (347) 830-7720
4801 Glenwood Ave
Suite 200
Raleigh, NC 27612-3857
Phone (347) 830-7720
4933 Tamiami TRL N
Suite 200
Naples, FL 34103-3028
Phone (347) 830-7720
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC4433 | NC | MD | Mental Health Counselor |
| 2066 | WV | MD | Mental Health Counselor |
| 4433 | NC | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriving Lane | Single Specialty | Current | Accepting new patients |
| Elizabeth a Strickler PHD PC | Single Specialty | Past | Accepting new patients |
Locations
4933 Tamiami Trl N
Ste 200
Naples, FL 34103
Phone (239) 272-9157
200 2nd Ave S
St Petersburg, FL 33701
Phone (727) 465-8515
2801 Buford Hwy NE
Ste T10
Brookhaven, GA 30329
Phone (404) 397-8302
4801 Glenwood Ave
Ste 200
Raleigh, NC 27612
Phone (757) 866-2715
Interoperability endpoints
- thrivinglanellc.jamesckowalski@149897.advancedmd-direct.com
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1386721355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 EDGEWATER DR UNIT 604",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346986965",
"telephone_number": "706-835-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 EDGEWATER DR UNIT 604",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346986965",
"telephone_number": "706-835-6515",
"fax_number": "706-835-6515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALSKI",
"first_name": "JAMES",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "LPC, MAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WV",
"license": "2066",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "LPC4433",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC003377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunedin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.