Kelsey J Kozlowski, LCP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.017609 Issued in IL

Practice address

200 N Fairway Dr Ste 208
Vernon Hills, IL 60061-1803

Phone

(847) 996-6666

Fax

(847) 996-6665

NPI assigned

Nov 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Solstice Therapy and Wellness

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1932614336
  Medicare reassignment

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1457018038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N FAIRWAY DRIVE",
            "address_2": "SUITE 208",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "60061",
            "telephone_number": "847-996-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N FAIRWAY DR STE 208",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611803",
            "telephone_number": "847-996-6666",
            "fax_number": "847-996-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOWSKI",
        "first_name": "KELSEY",
        "middle_name": "J",
        "credential": "LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.017609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael E Kordecki, DPT SCS ATC
• Jeff T Korn, FNP
• Alex Kostiv, M.D.
• Elizabeth Anne Kotarinos, PT, DPT
• Galina Kozhevnikova, APRN, CNP
• Marcia Kramer
• Susan J. Kramer, MD
• Lynne Krasny
• Amy Kraus, SLP, CCC-SLP
• Sarah Kravitz, D.T.

• Professional Counselor in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.