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Deactivated NPI 1386189660 Deactivated / Inactive NPI Male Practitioner

Christopher Kozlowski , MSED, LCPC

Counselor - Professional • Quincy, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Christopher Kozlowski has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 22, 2016
NPI Deactivation Date October 07, 2019
Total Practice Duration ~3 Years of Practice (2016 – 2019)

Professional Overview & Biography Verified Profile Summary

Christopher Kozlowski, MSED, LCPC was a registered Counselor - Professional practicing in Quincy, IL. Throughout an active medical career spanning 3 years, Christopher Kozlowski provided care at the practice location at 721 BROADWAY ST until profile deactivation on 2019-10-07.

Practice Location & Contact Primary Location

Practice Address

721 Broadway St

Quincy, IL 623012708

Telephone 2172243366
Fax 2172243311

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Quincy, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.8 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
64 Specialists

Practicing in Quincy, IL (9683 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180004781

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Tamara Pfaffe

Licensed Practical Nurse

NPI 1013879469
Sarah Scoggan , RN

Registered Nurse

NPI 1033070040

Registered Nurse

NPI 1164268108

Licensed Master Social Worker

Peggy Austin

Registered Nurse

NPI 1235091273
NPI 1235171463

Doctor of Osteopathic Medicine (D.O.)

Laura Goodwin

Registered Nurse - Case Management

NPI 1255292017

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 07, 2019

Record deactivated on October 07, 2019

NPI Profile Active December 22, 2016

NPI status registered as active in NPPES database

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Updated Practice Location December 22, 2016

Registered at 721 BROADWAY ST, QUINCY, IL 623012708 (Tel: 2172243366)

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Updated Business Mailing Address December 22, 2016

Registered at 721 BROADWAY ST, QUINCY, IL 623012708

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Provider Name / Credentials Updated December 22, 2016

Recorded as CHRISTOPHER KOZLOWSKI, M.S.ED, LCPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2016

Counselor (License #180004781 in IL)

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Initial NPI Registration & Enumeration December 22, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386189660
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2016
Last Update: December 22, 2016
Deactivation Date: October 07, 2019

Mailing Address

721 Broadway St

Quincy, IL 623012708

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.