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NICOLE KRETZINGER
NPI 1114808540
Counselor - Professional in King Of Prussia, PA

Active since September 11, 2025PECOS Enrolled
210 MALL BLVD STE 204, KING OF PRUSSIA, PA 19406(484) 808-5340 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Kretzinger NPPES

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

NICOLE KRETZINGER (NPI 1114808540) is an individual professional provider in King Of Prussia, Pennsylvania, licensed in Pennsylvania (PC018586) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1114808540
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE KRETZINGER
Location Address210 MALL BLVD STE 204King Of Prussia, PA 19406-3260
Mailing Address9521 Torresdale AvePhiladelphia, PA 19114-3743 · (215) 490-4514
Phone(484) 808-5340
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1114808540 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 PA · PC018586
210 MALL BLVD STE 204, King Of Prussia, PA 19406
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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)

Nicole Kretzinger is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840787842
PECOS Enrollment IDI20251014001686
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.

BLANCA M VELAZQUEZ-MARTIN LPC
Counselor (Professional)
210 MALL BLVD STE 204
KING OF PRUSSIA, PA 19406
Montgomery County (484) 808-5340
DR. ROMAN ROYTMAN MD
Psychiatry & Neurology (Psychiatry)
210 MALL BLVD STE 204
KING OF PRUSSIA, PA 19406
Montgomery County (484) 808-5340

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 Nicole Kretzinger's NPI number?

The NPI number for Nicole Kretzinger is 1114808540. It was assigned to this individual provider in the NPPES registry on September 11, 2025.

Where is Nicole Kretzinger located?

Nicole Kretzinger practices at 210 Mall Blvd Ste 204, King Of Prussia, PA 19406. The listed phone number is (484) 808-5340.

What is Nicole Kretzinger's specialty?

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

Is Nicole Kretzinger enrolled in Medicare?

Yes. Nicole Kretzinger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Kretzinger was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.