Paul Arthur Kolak, M.A., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401007685 Issued in MI

Practice address

1055 Carriage Hill Dr
Traverse City, MI 49686-5161

Phone

(231) 995-0870

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2009.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1720138480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20353 HUNTER RIDGE",
            "city": "LAKE ANN",
            "state": "MI",
            "postal_code": "49650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 CARRIAGE HILL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865161",
            "telephone_number": "231-995-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLAK",
        "first_name": "PAUL",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Kohler, D.O.
• Jason P. Kohler, D.C.
• Kelly Colleen Kohler, C.M.T., L.M.T
• Peter C Kohler, M.D.
• Katherine Kokowicz, LPCC
• Deborah Joubert Kolarevic, PT
• Bethany Jean Kolarik, D.C
• Kerry L Kole, DO
• Marcia Lynn Kolinski, FNP-BC
• Ryan Kolle

• All providers in Traverse City, MI
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.