Organization Active NPI

Melissa Kozlowski, LLC

  • Counselor
  • Geneva, IL
National Provider Identifier
1649674516
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180.008869 Issued in IL
Legal business name
MELISSA KOZLOWSKI, LLC
Practice address
115 Campbell St Ste 203
Geneva, IL 60134-2777
Phone
(815) 531-4104
NPI assigned
Oct 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Dr. Melissa Kozlowski, PSY.D, LCPCNPI 1730503608
Title
Dr.
Phone
(815) 531-4104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 180.008869 IL Primary

Addresses

Primary practice location

115 Campbell St Ste 203
Geneva, IL 60134-2777

Mailing address

115 Campbell St Ste 203
Geneva, IL 60134-2777
Phone (815) 531-4104

National Provider Directory

National Provider Directory

Locations

115 Campbell St
Ste 203
Geneva, IL 60134
Phone (815) 531-4104

115 Campbell St
Ste 208
Geneva, IL 60134
Phone (630) 339-4746

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1649674516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CAMPBELL ST STE 203",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342777",
            "telephone_number": "815-531-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CAMPBELL ST STE 203",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342777",
            "telephone_number": "815-531-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA KOZLOWSKI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "KOZLOWSKI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "815-531-4104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D, LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.008869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.