Nikole Marie Krosecz, BS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

801 E Green St
Allentown, PA 18109-1825

Phone

(610) 799-8910

NPI assigned

Apr 16, 2021

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kidspeace Childrens Hospital

  • Adolescent and Children Mental Health Clinic/Center
  • Allentown, PA
  • NPI 1245365261
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2021.

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1003497579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 YORKSHIRE DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180171738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E GREEN ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181091825",
            "telephone_number": "610-799-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROSECZ",
        "first_name": "NIKOLE",
        "middle_name": "MARIE",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nikole.krosecz@kidspeace.org",
            "affiliation": "N",
            "address_1": "801 E Green St",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181091825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monet M Kristel, MS OTR/L
• Richard Kroll Sr.
• Kaylee Kromer
• Leigh Krompasky, PA
• Dahlia Kronfli, MD
• Kiersten Marie Krouse, PA-C
• Robert J Kruklitis, MD
• John William Krupa, R.PH.
• Philip Krupka, DO
• Abigail Marie Krutsick, DPM

• All providers in Allentown, PA
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.