Organization Active NPI

James P Popp LTD

Doing business as Debra Kowalczyk, MA, LCPC

  • Mental Health Counselor
  • Palatine, IL
National Provider Identifier
1659141844
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JAMES P POPP LTD
Doing business as
Debra Kowalczyk, MA, LCPC
Practice address
1 E Northwest Hwy Ste 212
Palatine, IL 60067-1700
Phone
(708) 280-6538
Fax
(847) 705-6444
NPI assigned
Jan 8, 2024
Organization subpart
Yes
Parent organization
JAMES P POPP LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Ms. Debra Ann Kowalczyk, MANPI 1538129036
Title
Vice President/Secretary
Phone
(708) 280-6538

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1 E Northwest Hwy Ste 212
Palatine, IL 60067-1700

Mailing address

1519 N Dryden Ave
Arlington Heights, IL 60004-4031
Phone (708) 280-6538

Other names 1

  • Debra Kowalczyk, MA, LCPC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240827003172 IL Part B Supplier - Clinic/Group Practice 3476092065 Receives reassigned benefits from 1 practitioner
Practice locations: Palatine, IL

National Provider Directory

National Provider Directory
Part of
James P Popp LTD

Locations

1 E Northwest Hwy
Ste 212
Palatine, IL 60067
Phone (708) 280-6538

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": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1659141844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 N DRYDEN AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044031",
            "telephone_number": "708-280-6538",
            "fax_number": "847-705-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E NORTHWEST HWY STE 212",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600671700",
            "telephone_number": "708-280-6538",
            "fax_number": "847-705-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES P POPP LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAMES P POPP LTD",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "KOWALCZYK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "708-280-6538",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Debra Kowalczyk, MA, LCPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.