SAWYER JADE KOLACZKOWSKI LPC
NPI 1114696762
Counselor - Mental Health in Dixon, IL

Q: What is Sawyer Kolaczkowski's NPI number?

The NPI number for Sawyer Kolaczkowski is 1114696762. It was assigned to this individual provider in the NPPES registry on September 8, 2021.

Q: What is Sawyer Kolaczkowski's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since September 08, 2021PECOS Enrolled

325 IL ROUTE 2, DIXON, IL 61021(815) 284-6611 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2024, Sep 8, 2021 (2 updates tracked since 2021).

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About Sawyer Jade Kolaczkowski Lpc NPPES

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

SAWYER JADE KOLACZKOWSKI LPC (NPI 1114696762) is an individual mental health provider in Dixon, Illinois and active in the NPI registry since September 2021. The provider is enrolled in Medicare PECOS and maintains a secondary practice location in Sterling.

NPPES Registry Identity

NPI1114696762

Entity TypeIndividual

Primary Taxonomy101YM0800X

Provider Legal NameSAWYER JADE KOLACZKOWSKICredential: LPC

Location Address325 IL ROUTE 2Dixon, IL 61021-9118

Mailing Address325 Il Route 2Dixon, IL 61021-9118

Phone(815) 284-6611

Sole ProprietorNo

Enumeration DateSeptember 8, 2021

Last NPPES UpdateJune 3, 20242 updates tracked since enumeration

NPPES CertifiedJune 3, 2024

✔ NPI 1114696762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 178.020239 (IL)

325 IL ROUTE 2, Dixon, IL 61021

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Secondary Practice Location 1

Location 1402 2nd AveSterling, IL 61081-3699 · Phone (779) 297-7016 · Fax (779) 297-7021

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sawyer Jade Kolaczkowski Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

ROBERT LOVUS DILLON II

Counselor (Mental Health)