Individual provider Active NPI

Nicole Seegars, LPC, GCDF, N.C.C.,

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1265612196
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5009 Issued in SC
Practice address
3718 Commonwealth Ave
Charlotte, NC 28205-6235
Phone
(803) 417-0983
NPI assigned
Nov 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 4607 SC
School Counselor 101YS0200X 7057 NC
Mental Health Counselor 101YM0800X 5009 SC Primary
Mental Health Counselor 101YM0800X 7057 NC

Addresses

Primary practice location

3718 Commonwealth Ave
Charlotte, NC 28205-6235

Mailing address

3718 Commonwealth Ave
Charlotte, NC 28205-6235
Phone (803) 417-0983

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

LicenseStateTypeSpecialty
5009SCMDMental Health Counselor
7057NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1265612196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 COMMONWEALTH AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056235",
            "telephone_number": "803-417-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 COMMONWEALTH AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056235",
            "telephone_number": "803-417-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEGARS",
        "first_name": "NICOLE",
        "credential": "LPC, GCDF, N.C.C.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "SC",
            "license": "4607",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": "7057",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5009",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.