Jennifer Cherie Kowalski, L.P.C.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1865 Issued in CT

Practice address

681 Saybrook Rd
Middletown, CT 06457-4718

Phone

(860) 343-5303

Fax

(860) 344-3339

NPI assigned

Mar 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT, MI, WA3 enrollments

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 3

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  CT, MI, WA

  Medicare reassignment NPD
• Gilead Community Services, Inc.

  • Community/Behavioral Health Agency
  • Middletown, CT
  • NPI 1467705715
  NPD (past)
• Gilead Community Services, Inc.

  • Adult Mental Health Clinic/Center
  • Middletown, CT
  • NPI 1518948025
  NPD (past)

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1487978805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574718",
            "telephone_number": "860-343-5303",
            "fax_number": "860-344-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574718",
            "telephone_number": "860-343-5303",
            "fax_number": "860-344-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "JENNIFER",
        "middle_name": "CHERIE",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "1865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008002733",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Kopin, PA-C
• Kaylan Koski, LCSW
• Amanda Jean Kost, D.O.
• Emma Kostoff, MH, MPH
• Shilpa Piyush Kothary, DPM
• Gloria A Kozlowski, LCSW
• Mary Kraeer, RN, LCSW
• Adriel Kramer, M.D.
• John Kreider, MD
• Subramanian Krishnan, MD

• Counselor in Middletown, CT
• Providers in Middletown, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.