Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Ickowski

Individual provider Mental Health Counselor · NPI 1659157717

John Ickowski is a Mental Health Counselor in Vero Beach, Florida. Qualified in 2012, 14 years ago. Licensed in Pennsylvania.

Years since qualifying
14
Licensed in
PA
In the registry since
2023
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Practice location Address checks out

3222 Sussex Way
Vero Beach, FL 32966-6473
Phone: (717) 622-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence PC015817 (PA)

Record details

NPI number1659157717
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 5, 2023
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023
Mailing address3222 Sussex Way, Vero Beach, FL 32966-6473

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Vero Beach