Active NPI
Janet J Kwiatkowski, MS
- Marriage & Family Therapist
- Mequon, WI
National Provider Identifier
1457514895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 106-228
- Practice address
- 11514 N Port Washington Rd
Suite 150
Mequon, WI 53092-3442 - Phone
- (262) 244-6177
- Fax
- (262) 299-3040
- NPI assigned
- Jul 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 106-228 | WI | Primary |
Addresses
Primary practice location
11514 N Port Washington Rd
Suite 150
Mequon, WI 53092-3442
Mailing address
1035 W Glen Oaks LN Ste 110
Mequon, WI 53092-3392
Phone (262) 244-6177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100020205 | Medicaid | WI |
Other names 1
- Janet Jaworowicz
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106-228 | WI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1457514895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 W GLEN OAKS LN STE 110",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923392",
"telephone_number": "262-244-6177",
"fax_number": "262-299-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11514 N PORT WASHINGTON RD",
"address_2": "SUITE 150",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923442",
"telephone_number": "262-244-6177",
"fax_number": "262-299-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWIATKOWSKI",
"first_name": "JANET",
"middle_name": "J",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-07",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "106-228",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100020205",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANET",
"last_name": "JAWOROWICZ",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.