Marlie Krickus

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC012289 Issued in PA

Practice address

600 Haverford Rd
Haverford, PA 19041-1139

Phone

(610) 686-1080

NPI assigned

Feb 4, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1972195675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 BROWNING RD",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081091435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HAVERFORD RD",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411139",
            "telephone_number": "610-686-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRICKUS",
        "first_name": "MARLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC012289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane S Komitzky, OTRL
• Ildiko Korenyi-Both
• Edward Koslowsky, LPC
• Moira L Kowalczyk, OT/L
• Allison Kozloff, PYSD
• Lene H Larsen, PH.D.
• Lauren Rosen Wellness LLC
• Jennifer M Levengood, MS,OTRL
• Amanda Lezanski-Gujda, D.O.
• Cifang Li

• Mental Health Counselor in Haverford, PA
• Providers in Haverford, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.