Active NPI
Melissa Kozlowski, LLC
- Counselor
- Geneva, IL
National Provider Identifier
1649674516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180.008869
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melissa Kozlowski, PSY.D, LCPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 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 DirectoryLocations
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.
-
- Counselor
- Geneva, IL
- NPI 1730503608
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.