Individual provider Active NPI

Sarah Koziol

  • Counselor
  • Northglenn, CO
National Provider Identifier
1750929329
Registry record updated Dec 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
NLC.0109669 Issued in CO
Practice address
10699 Melody Dr Ste 2
Northglenn, CO 80234-4131
Phone
(303) 252-4179
Fax
(303) 252-4186
NPI assigned
Dec 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NLC.0109669 CO Primary

Addresses

Primary practice location

10699 Melody Dr Ste 2
Northglenn, CO 80234-4131

Mailing address

5409 S Foresthill St
Littleton, CO 80120-1339
Phone (720) 496-7368

Other identifiers 1

IdentifierTypeStateIssuer
1740608959MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarah@liferecoverycenters.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NLC.0109669COMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1576281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576281600000",
    "number": "1750929329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 S FORESTHILL ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801201339",
            "telephone_number": "720-496-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10699 MELODY DR STE 2",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344131",
            "telephone_number": "303-252-4179",
            "fax_number": "303-252-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZIOL",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-14",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "NLC.0109669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740608959",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah@liferecoverycenters.net",
            "affiliation": "N",
            "address_1": "10699 Melody Dr Ste 2",
            "city": "Northglenn",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802344131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.