Active NPI
Nicole Kretzinger
- Professional Counselor
- King of Prussia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC018586
- Practice address
- 210 Mall Blvd Ste 204
King of Prussia, PA 19406-3260 - Phone
- (484) 808-5340
- NPI assigned
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC018586 | PA | Primary |
Addresses
Primary practice location
210 Mall Blvd Ste 204
King of Prussia, PA 19406-3260
Mailing address
9521 Torresdale Ave
Philadelphia, PA 19114-3743
Phone (215) 490-4514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
24 W Levering Mill Rd
Bala Cynwyd, PA 19004-2605
523 Plymouth Rd
Suite 215
Plymouth Meeting, PA 19462-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC018586 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mhmo, Inc. | Current | Accepting new patients |
Locations
210 Mall Blvd
Ste 204
King of Prussia, PA 19406
Phone (484) 808-5340
2250 Hickory Rd
Ste 100
Plymouth Meeting, PA 19462
523 Plymouth Rd
Ste 215
Plymouth Mtng, PA 19462
Phone (610) 825-9400
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Plymouth Meeting, PA
- NPI 1023067139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1114808540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9521 TORRESDALE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191143743",
"telephone_number": "215-490-4514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 MALL BLVD STE 204",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194063260",
"telephone_number": "484-808-5340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRETZINGER",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-11",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC018586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.