CASSIDY S KORETKO
NPI 1922746288
Counselor - Professional in Thornton, CO

Q: What is Cassidy Koretko's NPI number?

The NPI number for Cassidy Koretko is 1922746288. It was assigned to this individual provider in the NPPES registry on May 25, 2022.

Q: What is Cassidy Koretko's specialty?

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

Q: Is Cassidy Koretko enrolled in Medicare?

No. Cassidy Koretko has opted out of Medicare through May 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Cassidy Koretko was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 25, 2022Opted out of Medicare · through May 29, 2028

10327 WASHINGTON ST, THORNTON, CO 80229(720) 379-6995 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2025, May 30, 2025, May 25, 2022 (3 updates tracked since 2022).

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About Cassidy S Koretko NPPES

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

CASSIDY S KORETKO (NPI 1922746288) is an individual professional provider in Thornton, Colorado, licensed in Colorado (LPC.0018974) and active in the NPI registry since May 2022. She has opted out of Medicare through May 29, 2028 and maintains a secondary practice location in Westminster.

NPPES Registry Identity

NPI1922746288

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameCASSIDY S KORETKO

Location Address10327 WASHINGTON STThornton, CO 80229-2003

Mailing Address10327 Washington StThornton, CO 80229-2003 · (720) 379-6995

Phone(720) 379-6995

Sole ProprietorYes

Enumeration DateMay 25, 2022

Last NPPES UpdateJune 4, 20253 updates tracked since enumeration

NPPES CertifiedJune 4, 2025

✔ NPI 1922746288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CO · LPC.0018974

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACD.00024720 (CO)

10327 WASHINGTON ST, Thornton, CO 80229

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Secondary Practice Location 1

Location 112207 Pecos St Ste 100Westminster, CO 80234-3891 · Phone (720) 379-6995

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Cassidy S Koretko has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 29, 2024 through May 29, 2028.

Opt-Out Effective DateMay 29, 2024

Opt-Out In Effect ThroughMay 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 16

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

SYLVIA ISABEL GARCIA

Counselor (Mental Health)