JOHN ANTHONY KRECEK MA,CAADC, MATS, CCJP
NPI 1811388424
Counselor - Addiction (Substance Use Disorder) in South Bend, IN

Active since February 18, 2015
4218 W WESTERN AVE, SOUTH BEND, IN 46619(574) 233-1524 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Anthony Krecek Ma,caadc, Mats, Ccjp NPPES

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

JOHN ANTHONY KRECEK MA,CAADC, MATS, CCJP (NPI 1811388424) is an individual addiction (substance use disorder) provider in South Bend, Indiana, licensed in Illinois (32436) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1811388424
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOHN ANTHONY KRECEKCredential: MA,CAADC, MATS, CCJP
Location Address4218 W WESTERN AVESouth Bend, IN 46619-2622
Mailing Address12173 Spruce StSawyer, MI 49125-9155 · (269) 985-3151
Sole ProprietorYes
Enumeration DateFebruary 18, 2015
Last NPPES UpdateJune 26, 2015
NPI 1811388424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses Licensed in IL · 32436 Licensed in IN · CIV-1710 Licensed in IN · MATS-148 Licensed in IN · CCJP-1005
4218 W WESTERN AVE, South Bend, IN 46619

Other Identifiers 2

Medicaid0IN
Medicaid0MI

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.

Counselor
4218 W WESTERN AVE
SOUTH BEND, IN 46619
Counselor (Addiction (Substance Use Disorder))
4218 W WESTERN AVE
SOUTH BEND, IN 46619
Family Medicine (Addiction Medicine)
4218 W WESTERN AVE
SOUTH BEND, IN 46619
Counselor (Addiction (Substance Use Disorder))
4218 W WESTERN AVE
SOUTH BEND, IN 46619
Counselor (Addiction (Substance Use Disorder))
4218 W WESTERN AVE
SOUTH BEND, IN 46619
Counselor (Addiction (Substance Use Disorder))
4218 W WESTERN AVE
SOUTH BEND, IN 46619

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 Krecek's NPI number?

The NPI number for John Krecek is 1811388424. It was assigned to this individual provider in the NPPES registry on February 18, 2015.

Where is John Krecek located?

John Krecek practices at 4218 W Western Ave, South Bend, IN 46619. The listed phone number is (574) 233-1524.

What is John Krecek's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for John Krecek was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.