Active NPI 1598818312 Individual Practitioner Female Practitioner

Colette A Bukowski , LPCC

Counselor - Professional • Willoughby, OH

Professional Overview & Biography Verified Profile Summary

Colette Bukowski, LPCC is a registered healthcare professional specializing in Counselor - Professional in Willoughby, OH. Practice services are available at 34900 CHARDON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

34900 Chardon Rd
Suite 102

Willoughby, OH 440949161

Telephone 2165481439

Associated Practice Facility / Clinic

🏢 Jack Anstandig, M.d., Inc. Facility NPI 1457474330

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Willoughby, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.0 Yrs

State Avg: 15.9 Yrs

Regional Practice Density

20 Specialists

Practicing in Willoughby, OH (6923 Statewide)

Telehealth Adoption Rate

5.0% 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 OH E4173

Definition to come...

Practice Associates & Co-Workers

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

3 Associated Practitioners

Maxene Zion , LISW

Social Worker - Clinical

NPI 1083688907

Licensed Independent Social Worker

Dr. Damilyta Tell , MD

Psychiatry & Neurology - Geriatric Psychiatry

NPI 1356315261

Doctor of Medicine (M.D.)

Kareen Caputo

Counselor - Mental Health

NPI 1982666319

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 26, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 26, 2007

Registered at 34900 CHARDON RD, SUITE 102, WILLOUGHBY, OH 440949161 (Tel: 2165481439)

📍

Updated Business Mailing Address July 26, 2007

Registered at 1760 SUNVIEW RD, LYNDHURST, OH 441242843 (Tel: 4404730230)

👤

Provider Name / Credentials Updated July 26, 2007

Recorded as COLETTE BUKOWSKI, LPCC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2007

Counselor (License #E4173 in OH)

🟢

Initial NPI Registration & Enumeration January 18, 2007

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: 1598818312

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 18, 2007

Last Update: July 26, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1760 Sunview Rd

Lyndhurst, OH 441242843

Phone: 4404730230

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.