KAROLINA KOZAKIEWICZ LCPC
NPI 1164052239
Counselor - Mental Health in Deerfield, IL

Active since January 17, 2020Opted out of Medicare · through Apr 5, 2028
405 LAKE COOK RD STE A203, DEERFIELD, IL 60015(224) 228-8834 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2023, Jan 17, 2020 (2 updates tracked since 2020).

About Karolina Kozakiewicz Lcpc NPPES

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

KAROLINA KOZAKIEWICZ LCPC (NPI 1164052239) is an individual mental health provider in Deerfield, Illinois, licensed in Illinois (180.014567) and active in the NPI registry since January 2020. She has opted out of Medicare through April 5, 2028.

NPPES Registry Identity

NPI1164052239
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAROLINA KOZAKIEWICZCredential: LCPC
Location Address405 LAKE COOK RD STE A203Deerfield, IL 60015-4918
Mailing Address405 Lake Cook Rd Ste 203Deerfield, IL 60015-4993 · (224) 595-2792
Sole ProprietorYes
Enumeration DateJanuary 17, 2020
Last NPPES UpdateJanuary 26, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
NPI 1164052239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 180.014567
405 LAKE COOK RD STE A203, Deerfield, IL 60015

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Karolina Kozakiewicz Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 5, 2024 through April 5, 2028.

Opt-Out Effective DateApril 5, 2024
Opt-Out In Effect ThroughApril 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Counselor (Professional)
405 LAKE COOK RD STE A203
DEERFIELD, IL 60015

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 Karolina Kozakiewicz's NPI number?

The NPI number for Karolina Kozakiewicz is 1164052239. It was assigned to this individual provider in the NPPES registry on January 17, 2020.

Where is Karolina Kozakiewicz located?

Karolina Kozakiewicz practices at 405 Lake Cook Rd Ste A203, Deerfield, IL 60015. The listed phone number is (224) 228-8834.

What is Karolina Kozakiewicz's specialty?

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

Is Karolina Kozakiewicz enrolled in Medicare?

No. Karolina Kozakiewicz has opted out of Medicare through April 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Karolina Kozakiewicz was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.