Active NPI
Chad Kowalski
- Professional Counselor
- Reedsburg, WI
National Provider Identifier
1861899775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1924-226
- Practice address
- 348 E Main St
Reedsburg, WI 53959-1940 - Phone
- (608) 843-3229
- Fax
- (608) 768-0816
- NPI assigned
- Nov 21, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1924-226 | WI | Primary |
Addresses
Primary practice location
348 E Main St
Reedsburg, WI 53959-1940
Mailing address
348 E Main St
Reedsburg, WI 53959-1940
Phone (608) 843-3229
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1924-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Without Walls | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Reedsburg, WI
- NPI 1003215310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1861899775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 E MAIN ST",
"city": "REEDSBURG",
"state": "WI",
"postal_code": "539591940",
"telephone_number": "608-843-3229",
"fax_number": "608-768-0816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 E MAIN ST",
"city": "REEDSBURG",
"state": "WI",
"postal_code": "539591940",
"telephone_number": "608-843-3229",
"fax_number": "608-768-0816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALSKI",
"first_name": "CHAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-21",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "1924-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reedsburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.