KIMBERLY JOZWIAK – Professional Counselor, NPI 1588227300

KIMBERLY JOZWIAK is a healthcare provider. based in Poplar grove, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 178.014088 (IL). The NPI Number for KIMBERLY JOZWIAK is 1588227300

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY JOZWIAK
NPI
1588227300
Phone
(815) 765-2113
Address
4950 RTE. 173
Enumeration Date
17 April 2019
Last Update Date
22 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
4284074527
Professional Enrollment ID
I20240502003379
Address ID
IL601428609Hu10406DRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for KIMBERLY JOZWIAK

  • IL 173, Poplar Grove, Boone County, Illinois, 61065, United States

    POPLAR GROVE, IL 61065

    Phone: (815) 765-2113

    Type: Location

  • 15515 Nelson Rd

    Woodstock, IL 600989522

    Phone: (224) 552-0502

    Type: Location

  • 1305 Remington Rd Ste T

    Schaumburg, IL 601734820

    Phone: (224) 552-0502

    Type: Location

  • 10406 OAKDALE DR

    HUNTLEY, IL 601428609

    Phone: (224) 420-0011

    Type: Mailing

  • 4835 MANHATTAN DR

    ROCKFORD, IL 611082265

    Phone: (815) 520-2303

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240502003379IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61065)

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Reviews

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Frequently asked questions

Is there an official ID for KIMBERLY JOZWIAK in U.S. healthcare records?
The official identifier for KIMBERLY JOZWIAK is NPI 1588227300.
Would KIMBERLY JOZWIAK appear as active to a payer?
You can treat KIMBERLY JOZWIAK as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to KIMBERLY JOZWIAK?
KIMBERLY JOZWIAK's specialty line reads Professional Counselor. Clinical services aligned with this taxonomy classification.
Is KIMBERLY JOZWIAK located near Poplar Grove?
KIMBERLY JOZWIAK currently maps to Poplar Grove, Illinois in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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