Individual provider Active NPI

Krystyna Jozefa Piorkowski, PH.D.,MA.LMHC

  • Mental Health Counselor
  • Venice, FL
National Provider Identifier
1396862777
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH6403 Issued in FL
Practice address
333 Tamiami TRL S
Suite 103
Venice, FL 34285-2402
Phone
(941) 484-0766
Fax
(941) 412-3047
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH6403 FL Primary

Addresses

Primary practice location

333 Tamiami TRL S
Suite 103
Venice, FL 34285-2402

Mailing address

200 Mirabella Cir
Unit 204
Venice, FL 34292-2493
Phone (941) 504-9251

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH6403FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396862777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MIRABELLA CIR",
            "address_2": "UNIT 204",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342922493",
            "telephone_number": "941-504-9251",
            "fax_number": "941-412-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 TAMIAMI TRL S",
            "address_2": "SUITE 103",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852402",
            "telephone_number": "941-484-0766",
            "fax_number": "941-412-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIORKOWSKI",
        "first_name": "KRYSTYNA",
        "middle_name": "JOZEFA",
        "name_prefix": "Mrs.",
        "credential": "PH.D.,MA.LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.