Active NPI
Dorothy Kozakowski, DNP, APN
- Psychiatric/Mental Health Nurse Practitioner
- Kenosha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 14330
- Practice address
- 6525 Green Bay Rd # 2
Kenosha, WI 53142-2967 - Phone
- (262) 999-3495
- NPI assigned
- Dec 7, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 14330 | WI | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 277002683 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 14330 | WI | Primary |
Addresses
Primary practice location
6525 Green Bay Rd # 2
Kenosha, WI 53142-2967
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (262) 999-3495
Other practice location 1
1535 Lake Cook Rd Ste 300&500
Northbrook, IL 60062-1447
Phone (866) 729-1012 ext. 1103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16535 W Bluemound Rd
Suite 200
Brookfield, WI 53005-5906
Phone (262) 789-1191
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14330 | WI | MD | Nurse Practitioner |
| 277002683 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natchaug Hospital, Inc. | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Cornerstone Counseling Services, Inc | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Nurse Practitioner | Current | Accepting new patients |
| Happy Thoughts Psychiatric Services | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
6525 Green Bay Rd
Ste 2
Kenosha, WI 53142
Phone (262) 492-5276
Interoperability endpoints
- lifestancehealth.dorothykozakowski@149809.advancedmd-direct.com
Organizations & group practices 5
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.
-
- Mental Health Counselor
- Brookfield, WI
- NPI 1033127246
-
- Psychiatric Hospital
- Mansfield Center, CT
- NPI 1295811321
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
Nurse Practitioner
-
- Mental Illness Intermediate Care Facility
- Mount Prospect, IL
- NPI 1508204330
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1588909196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N SCOTTSDALE RD STE 2500",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517630",
"telephone_number": "262-999-3495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6525 GREEN BAY RD # 2",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531422967",
"telephone_number": "262-999-3495"
}
],
"practiceLocations": [
{
"address_1": "1535 Lake Cook Rd Ste 300&500",
"address_purpose": "LOCATION",
"city": "Northbrook",
"state": "IL",
"postal_code": "600621447",
"country_code": "US",
"telephone_number": "866-729-1012 x1103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOZAKOWSKI",
"first_name": "DOROTHY",
"name_prefix": "Dr.",
"credential": "DNP, APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-07",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "14330",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "IL",
"license": "277002683",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "14330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.