Andrew E. Seguel, MS, LPC, LCMHC

Individual provider Active NPI Professional Counselor · Underhill, VT

NPI 1376851675 · NPPES record last updated Nov 28, 2023

Key facts

NPI
1376851675
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
37PC00611600 (NJ)
Practice address
22 Pinnacle RDG
Underhill, VT 05489-4411
Phone
(318) 523-0523
NPI assigned
Sep 21, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
068.0134602VTMDMental Health Counselor
37PC00611600NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling for Change LLC Counselor Current
since Aug 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37PC00611600 NJ
Counselor 101Y00000X 068.0134602 VT
Mental Health Counselor 101YM0800X 068.0134602 VT
Mental Health Counselor 101YM0800X 37PC00611600 NJ
Professional Counselor 101YP2500X 068.0134602 VT
Professional Counselor 101YP2500X 37PC00611600 NJ Yes

Addresses

Primary practice location

22 Pinnacle RDG
Underhill, VT 05489-4411

Mailing address

22 Pinnacle RDG
Underhill, VT 05489-4411
Phone (973) 980-5123

Other practice location 1

50 Deanna Dr
East Hanover, NJ 07936-3209
Phone (318) 523-0523

Other identifiers

IdentifierTypeStateIssuer
527486OtherNJAGENCY PROVIDER NUMBER
0023701OtherNJAGENCY PROVIDER NUMBER
7794703OtherNJAGENCY PROVIDER NUMBER FOR PROGRAM

Other providers in Underhill, VT

All providers in Underhill, VT · Professional Counselor in Vermont

Sources for this page

Verify at the official NPI Registry.