Jenny Jane Kozel, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

432 Issued in SD

Practice address

1818 W Fulton St
Suite 201
Rapid City, SD 57702-4377

Phone

(605) 348-6500

Fax

(605) 341-7409

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

Yes

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.

• Jennifer J. Kozel, PHD, LCP, Inc.

  • Clinical Psychologist
  • Rapid City, SD
  • NPI 1780950956
  Medicare reassignment NPD CLINICAL · SD
• Carver Grupp Psychological Services Inc.

  • Clinical Psychologist
  • Rapid City, SD
  • NPI 1477700086
  NPD (past) CLINICAL

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 20, 2010.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1932137262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 W FULTON ST",
            "address_2": "SUITE 201",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024377",
            "telephone_number": "605-348-6500",
            "fax_number": "605-341-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 W FULTON ST",
            "address_2": "SUITE 201",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024377",
            "telephone_number": "605-348-6500",
            "fax_number": "605-341-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZEL",
        "first_name": "JENNY",
        "middle_name": "JANE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SD",
            "license": "432",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SD",
            "license": "432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6551810",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cole Mitchell Kosmala
• Andrea Marie Kost
• Jeri Rene Kost, REGISTERED NURSE
• Bonnie Kottke, CDCT
• Stephen M Kovarik, M.D.
• Lindsey Kozel, DPT
• Thomas L Krafka, M.D.
• Roberta Ann Kramlich, MA
• Mary Beth Krance, MD
• Katrina L Kraus, CRNA

• All providers in Rapid City, SD
• Clinical Psychologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.