JOHN PAUL KRETKOWSKI
NPI 1609414754
Counselor - Mental Health in Lake Waccamaw, NC
About John Paul Kretkowski NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN PAUL KRETKOWSKI (NPI 1609414754) is an individual mental health provider in Lake Waccamaw, North Carolina, licensed in North Carolina (22239) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Paul Kretkowski is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Paul Kretkowski's NPI number?
The NPI number for John Paul Kretkowski is 1609414754. It was assigned to this individual provider in the NPPES registry on December 18, 2019.
Where is John Paul Kretkowski located?
John Paul Kretkowski practices at 400 Flemington Dr, Lake Waccamaw, NC 28450. The listed phone number is (910) 646-3083.
What is John Paul Kretkowski's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is John Paul Kretkowski enrolled in Medicare?
Yes. John Paul Kretkowski is registered in the Medicare PECOS enrollment system.
What insurance does John Paul Kretkowski accept?
Health plans from Blue Cross and Blue Shield of NC list John Paul Kretkowski 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 John Paul Kretkowski was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.
# John Paul Kretkowski · NPI 1609414754
Mental Health provider in Lake Waccamaw, North Carolina. Individual provider, active in the CMS NPPES registry since December 18, 2019.
## Identity
- **NPI:** 1609414754 (Entity type: Individual)
- **Enumerated:** December 18, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 22239 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 FLEMINGTON DR, Lake Waccamaw, NC 28450-1932
- **Phone:** (910) 646-3083
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** October 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1609414754) · Data from the CMS NPPES public registry.