Active NPI
Nicole Creveling, LPC
- Professional Counselor
- Allentown, PA
National Provider Identifier
1750791109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC018767
- Practice address
- 1628 Chew St FL 3
Allentown, PA 18102-3649 - Phone
- (610) 969-2529
- Fax
- (610) 969-4332
- NPI assigned
- May 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC018767 | PA | Primary |
| Behavior Analyst | 103K00000X | BH000164 | PA |
Addresses
Primary practice location
1628 Chew St FL 3
Allentown, PA 18102-3649
Mailing address
2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 224-1267
Other practice location 1
6210 Fairway Ln
Allentown, PA 18106-9613
Phone (484) 241-1244
Other names 1
- Nicole Granitz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC018767 | PA | MD | Professional Counselor |
| BH000164 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1750791109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MACK BLVD FL 4",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035622",
"telephone_number": "484-224-1267",
"fax_number": "484-672-7818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 CHEW ST FL 3",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181023649",
"telephone_number": "610-969-2529",
"fax_number": "610-969-4332"
}
],
"practiceLocations": [
{
"address_1": "6210 Fairway Ln",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181069613",
"country_code": "US",
"telephone_number": "484-241-1244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CREVELING",
"first_name": "NICOLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-06",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC018767",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH000164",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "GRANITZ",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.