Laura Koziej, MA, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178011595 Issued in IL

Practice address

720 Roosevelt Rd
Glen Ellyn, IL 60137-5806

Phone

(163) 098-4220

Fax

(630) 984-2051

NPI assigned

Dec 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Revolution PTWL LLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1164766606
  NPD (past)

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1841655529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 N LAPORTE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ROOSEVELT RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375806",
            "telephone_number": "163-098-4220",
            "fax_number": "630-984-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZIEJ",
        "first_name": "LAURA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178011595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Jayoung Koh, DDS
• Heather Ann Koopmann, AU.D.
• Christopher Kosapatti, RPH
• Barbara Kosirog
• Cynthia Koskiewicz, LCPC
• Kristen Powell Therapy and Consulting, LLC
• Whitney Lynn Krug, L.C.P.C.
• Leo Paul Krusack, DDS
• Jihad Kudsi, MD
• Karol Kuehn, PTA

• Counselor in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.