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JASON NIETZKE
NPI 1033521687
Counselor - Professional in Savannah, GA

Active since May 29, 2014PECOS Enrolled
132 STEPHENSON AVE STE 101, SAVANNAH, GA 31405(912) 200-3195 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jason Nietzke NPPES

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

JASON NIETZKE (NPI 1033521687) is an individual professional provider in Savannah, Georgia, licensed in Georgia (007803) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033521687
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJASON NIETZKE
Location Address132 STEPHENSON AVE STE 101Savannah, GA 31405-5829
Mailing Address132 Stephenson Ave Ste 101Savannah, GA 31405-5829 · (912) 200-3195
Phone(912) 200-3195
Sole ProprietorNo
Enumeration DateMay 29, 2014
✔ NPI 1033521687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · 007803
132 STEPHENSON AVE STE 101, Savannah, GA 31405
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Nietzke 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 2

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

KAREN E KRAUL LISW-CP
Social Worker (Clinical)
132 STEPHENSON AVE STE 101
SAVANNAH, GA 31405
Chatham County (912) 200-3195
MARIA IRWIN LPC
Counselor (Professional)
132 STEPHENSON AVE STE 101
SAVANNAH, GA 31405
Chatham County (912) 200-3195

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 Jason Nietzke's NPI number?

The NPI number for Jason Nietzke is 1033521687. It was assigned to this individual provider in the NPPES registry on May 29, 2014.

Where is Jason Nietzke located?

Jason Nietzke practices at 132 Stephenson Ave Ste 101, Savannah, GA 31405. The listed phone number is (912) 200-3195.

What is Jason Nietzke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jason Nietzke enrolled in Medicare?

Yes. Jason Nietzke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jason Nietzke was last updated on May 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.