Robert John Mark Ksiazkiewicz, LPC CDCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2404616 Issued in OH

Practice address

PO Box 748465
Atlanta, GA 30374-8465

Phone

(855) 284-7483

NPI assigned

Feb 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/hopevalleyrecovery/r4/

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.

• New Harvest Behavioral Health LLC

  • Mental Health Counselor
  • Grove City, OH
  • NPI 1891617932
  NPD (past) Authorized official
• Full Circle Recovery of Circleville

  • Community/Behavioral Health Agency
  • Circleville, OH
  • NPI 1861137408
  NPD (past)
• Full Circle Recovery of Circleville

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Circleville, OH
  • NPI 1922607266
  NPD (past)

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1730711482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748465",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748465",
            "telephone_number": "855-284-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 748465",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748465",
            "telephone_number": "855-284-7483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Heimat Haus Dr",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431234085",
            "country_code": "US",
            "telephone_number": "814-931-3850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KSIAZKIEWICZ",
        "first_name": "ROBERT",
        "middle_name": "JOHN MARK",
        "credential": "LPC  CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-11",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162224",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2404616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Krupa-Diament
• Craig Krupansky, PA-C
• Cassandra Krysta
• Amy J Krzoska, RN BSN
• KSD ABA LLC
• Benson Ku, MD
• David Kuai
• Erica Kubascik, MD, PHARMD
• Alexander N Kubosiak
• Alexa Faith Kubulak, DC

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.