DR. JAMES ALLEN KOWAL PH.D.
NPI 1255348777
Counselor - Professional in Naperville, IL

NPI Status: Active since August 01, 2006

Contact Information

1110 N WASHINGTON ST
NAPERVILLE, IL
ZIP 60563
Phone: (630) 637-4002
Fax: (630) 637-4002

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  • Individual
  • Male
  • Counselor
  • Professional
  • Accepts Insurance
  • PECOS Enrolled

About JAMES KOWAL

This page provides the complete NPI Profile along with additional information for James Kowal, a provider established in Naperville, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1255348777 assigned on August 2006. The practitioner's primary taxonomy code is 101YP2500X with license number 180-003245 (IL). The provider is registered as an individual and his NPI record was last updated March 2026.

NPI
1255348777
Provider Name
DR. JAMES ALLEN KOWAL PH.D.
Gender
Male
Entity Type
Individual
Location Address
1110 N WASHINGTON ST NAPERVILLE, IL 60563
Location Phone
(630) 637-4002
Location Fax
(630) 637-4002
Mailing Address
1110 N WASHINGTON ST NAPERVILLE, IL 60563
Mailing Phone
(630) 637-4002
Mailing Fax
(630) 637-4002
Is Sole Proprietor?
Yes
Enumeration Date
08-01-2006
Last Update Date
03-26-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
180-003245
License State
IL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2223237OTHER (01)ILBCBS

Medicare Participation & PECOS Enrollment Status

James Kowal is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Psychiatric diagnostic evaluation

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

This service was performed 12 times for 12 patients

Psychotherapy, 1 hour

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

This service was performed 417 times for 26 patients

Psychotherapy, 30 minutes

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

This service was performed 209 times for 13 patients

Psychotherapy, 45 minutes

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

This service was performed 304 times for 21 patients

Reviews for DR. JAMES ALLEN KOWAL PH.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255348777, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 6 + 4 + 1 + 6 + 7 + 1 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1255348777.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Acupuncturist
1110 N WASHINGTON ST, RUAH CENTER
NAPERVILLE, IL 60563
Counselor (Mental Health)
1110 N WASHINGTON ST
NAPERVILLE, IL 60563
Psychologist (Clinical)
1110 N WASHINGTON ST
NAPERVILLE, IL 60563
Psychologist (Clinical)
1110 N WASHINGTON ST
NAPERVILLE, IL 60563
Psychologist (Clinical)
1110 N WASHINGTON ST
NAPERVILLE, IL 60563

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255348777, enumerated as an "individual" on August 01, 2006.

The provider is located at 1110 N WASHINGTON ST NAPERVILLE, IL 60563 and the phone number is (630) 637-4002.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Providence Health Plan, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.