Individual provider Active NPI

Dawn K Kozarian, NCC, LMHC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1851424709
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39001738A Issued in IN
Practice address
1628 Brewster Rd
Indianapolis, IN 46260-1509
Phone
(317) 879-0222
Fax
(317) 222-6677
NPI assigned
Mar 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39001738A IN Primary

Addresses

Primary practice location

1628 Brewster Rd
Indianapolis, IN 46260-1509

Mailing address

1628 Brewster Rd
Indianapolis, IN 46260-1509
Phone (317) 879-0222

Other identifiers 1

IdentifierTypeStateIssuer
39001738AOtherINSTATE LICENSE #

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
39001738AINMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851424709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 BREWSTER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601509",
            "telephone_number": "317-879-0222",
            "fax_number": "317-222-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 BREWSTER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601509",
            "telephone_number": "317-879-0222",
            "fax_number": "317-222-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZARIAN",
        "first_name": "DAWN",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "NCC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001738A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "39001738A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.