Individual provider Active NPI

Dorothy Kozakowski, DNP, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Kenosha, WI
National Provider Identifier
1588909196
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14330 Issued in WI
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

Updated by the provider on May 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161130000170 CT Practitioner - Nurse Practitioner 7113160847 Reassigns benefits to 2 organizations
I20240320003149 WI Practitioner - Nurse Practitioner 7113160847 Reassigns benefits to 1 organization

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
Cornerstone Counseling Services IncGroup PAC ID 1456256023, 338 clinicians

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

LicenseStateTypeSpecialty
14330WIMDNurse Practitioner
277002683ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Natchaug Hospital, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jun 26, 2023 Accepting new patients
Cornerstone Counseling Services, Inc CurrentSince Feb 6, 2024 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Nurse Practitioner CurrentSince Jun 26, 2023 Accepting new patients
Happy Thoughts Psychiatric Services PastSince Jul 1, 2013 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.