Individual provider Active NPI

Brittany Alexis Kowalik, MS, DT

  • Developmental Therapist
  • Chicago, IL
National Provider Identifier
1831450642
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
BK07940323P Issued in IL
Practice address
1200 W Monroe St Apt 313
Chicago, IL 60607-2555
Phone
(440) 320-3569
NPI assigned
Jun 7, 2012
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Developmental Therapist 222Q00000X BK07940323P IL Primary

Addresses

Primary practice location

1200 W Monroe St Apt 313
Chicago, IL 60607-2555

Mailing address

1200 W Monroe St Apt 313
Chicago, IL 60607-2555
Phone (440) 320-3569

Other names 1

  • Brittany Alexis Martin Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
BK07940323PILMDDevelopmental Therapist

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1831450642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W MONROE ST APT 313",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072555",
            "telephone_number": "440-320-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W MONROE ST APT 313",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072555",
            "telephone_number": "440-320-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALIK",
        "first_name": "BRITTANY",
        "middle_name": "ALEXIS",
        "credential": "MS, DT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2023-04-24",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "BK07940323P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "MARTIN",
            "middle_name": "ALEXIS",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.