GAIL ROBIN KOWALKOWSKI LCSW
NPI 1851913156
Counselor - Mental Health in Plymouth, WI

Active since May 11, 2020PECOS Enrolled
1 PERSNICKETY PL, PLYMOUTH, WI 53073(920) 892-3468 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2026, May 11, 2020 (2 updates tracked since 2020).

About Gail Robin Kowalkowski Lcsw NPPES

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

GAIL ROBIN KOWALKOWSKI LCSW (NPI 1851913156) is an individual mental health provider in Plymouth, Wisconsin, licensed in Wisconsin (130655-121) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851913156
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGAIL ROBIN KOWALKOWSKICredential: LCSW
Location Address1 PERSNICKETY PLPlymouth, WI 53073-3544
Mailing Address10 W Market St Ste 2900Indianapolis, IN 46204-2964 · (802) 857-0434
Sole ProprietorNo
Enumeration DateMay 11, 2020
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1851913156 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 WI · 130655-121
1 PERSNICKETY PL, Plymouth, WI 53073

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gail Robin Kowalkowski Lcsw 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gail Kowalkowski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adult Mental Health
2801 CALUMET DR
Sheboygan, WI 53083
  • Reassigned Medicare billing, Wisconsin enrollment
  • 10 clinicians in this Medicare group
Community/Behavioral Health
1011 N 8TH ST
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 9 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
1 PERSNICKETY PL
PLYMOUTH, WI 53073
Nurse Practitioner (Primary Care)
1 PERSNICKETY PL
PLYMOUTH, WI 53073
Nurse Practitioner (Family)
1 PERSNICKETY PL
PLYMOUTH, WI 53073
Clinic/Center (Primary Care)
1 PERSNICKETY PL
PLYMOUTH, WI 53073
Dietitian, Registered
1 PERSNICKETY PL
PLYMOUTH, WI 53073
Physical Therapist
1 PERSNICKETY PL
PLYMOUTH, WI 53073

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 Gail Kowalkowski's NPI number?

The NPI number for Gail Kowalkowski is 1851913156. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Where is Gail Kowalkowski located?

Gail Kowalkowski practices at 1 Persnickety Pl, Plymouth, WI 53073. The listed phone number is (920) 892-3468.

What is Gail Kowalkowski's specialty?

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

Is Gail Kowalkowski enrolled in Medicare?

Yes. Gail Kowalkowski is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gail Kowalkowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gail Kowalkowski reassigns Medicare benefits to 2 organizations: Nett Work Family Counseling LLC (Sheboygan, WI) and County Of Sheboygan (Sheboygan, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gail Kowalkowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gail Kowalkowski accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and UnitedHealthcare list Gail Kowalkowski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gail Kowalkowski was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.