Active NPI
Angela L Seibert, LPCC
- Counselor
- Paducah, KY
National Provider Identifier
1306189121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 102987
- Practice address
- 3565 Lone Oak Rd Ste 2
Paducah, KY 42003-5717 - Phone
- (270) 554-3714
- Fax
- (270) 554-8322
- NPI assigned
- Mar 29, 2013
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 102987 | KY | Primary |
Addresses
Primary practice location
3565 Lone Oak Rd Ste 2
Paducah, KY 42003-5717
Mailing address
300 Hope St
Mt Washington, KY 40047-7757
Phone (502) 538-1000
Other practice location 1
68 Cedar St
Kuttawa, KY 42055-6287
Phone (270) 601-4235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100348550 | Medicaid | KY |
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 |
|---|---|---|---|
| 102987 | KY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Place LLC | Past | Accepting new patients | |
| Sunrise Children'S Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Foster Care Agency
- Paducah, KY
- NPI 1699189308
-
- Psychologist
- Kuttawa, KY
- NPI 1316208069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1306189121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HOPE ST",
"city": "MT WASHINGTON",
"state": "KY",
"postal_code": "400477757",
"telephone_number": "502-538-1000",
"fax_number": "502-538-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3565 LONE OAK RD STE 2",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420035717",
"telephone_number": "270-554-3714",
"fax_number": "270-554-8322"
}
],
"practiceLocations": [
{
"address_1": "68 Cedar St",
"address_purpose": "LOCATION",
"city": "Kuttawa",
"state": "KY",
"postal_code": "420556287",
"country_code": "US",
"telephone_number": "270-601-4235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEIBERT",
"first_name": "ANGELA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-29",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KY",
"license": "102987",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100348550",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.