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MARY ELIZABETH KOZAK C.R.P.A.
NPI 1114695491
Peer Specialist in Riverhead, NY

Active since September 01, 2021
400 W MAIN ST, RIVERHEAD, NY 11901(631) 369-0104(631) 369-5433 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Elizabeth Kozak C.r.p.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELIZABETH KOZAK C.R.P.A. (NPI 1114695491) is an individual peer specialist in Riverhead, New York and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1114695491
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMARY ELIZABETH KOZAKCredential: C.R.P.A.
Location Address400 W MAIN STRiverhead, NY 11901-2813
Mailing Address400 W Main StRiverhead, NY 11901-2813 · (631) 369-0104 · Fax (631) 369-5433
Phone(631) 369-0104
Fax(631) 369-5433
Sole ProprietorNo
Enumeration DateSeptember 1, 2021
NPPES CertifiedSeptember 1, 2021
✔ NPI 1114695491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
400 W MAIN ST, Riverhead, NY 11901
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANILLE RAVEN CORNWELL
Peer Specialist
400 W MAIN ST
RIVERHEAD, NY 11901
Suffolk County (631) 833-6581
KEVIN J CARAMORE
Student in an Organized Health Care Education/Training Program
400 W MAIN ST
RIVERHEAD, NY 11901
Suffolk County (631) 369-0104
BRIANNE RAY LMSW
Social Worker
400 W MAIN ST
RIVERHEAD, NY 11901
Suffolk County (631) 369-0104
BRIANNA KNIGHT
Counselor (Addiction (Substance Use Disorder))
400 W MAIN ST
RIVERHEAD, NY 11901
Suffolk County (631) 369-0104
MICHAELA JOANNA HARRIS
Peer Specialist
400 W MAIN ST
RIVERHEAD, NY 11901
Suffolk County (631) 369-0104
MS. ROSEANN LASALA
Peer Specialist
400 W MAIN ST
RIVERHEAD, NY 11901
Suffolk County (631) 682-2929
VALERIE SANKAR
Counselor (Mental Health)
400 W MAIN ST
RIVERHEAD, NY 11901
Suffolk County (631) 508-5007
RYAN HENAGHAN CASAC
Counselor (Addiction (Substance Use Disorder))
400 W MAIN ST
RIVERHEAD, NY 11901
Suffolk County (631) 369-0104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Kozak's NPI number?

The NPI number for Mary Kozak is 1114695491. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Where is Mary Kozak located?

Mary Kozak practices at 400 W Main St, Riverhead, NY 11901. The listed phone number is (631) 369-0104.

What is Mary Kozak's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mary Kozak was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.