Individual provider Active NPI

Angela Seckman, DNP, PMHNP-BC, CNL

  • Psychiatric/Mental Health Nurse Practitioner
  • Venice, FL
National Provider Identifier
1447709449
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.020123 Issued in OH
Practice address
1370 E Venice Ave
Venice, FL 34285-9082
Phone
(740) 704-5200
NPI assigned
Oct 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.020123 OH Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN.327478 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11037058 FL

Addresses

Primary practice location

1370 E Venice Ave
Venice, FL 34285-9082

Mailing address

1370 E Venice Ave
Venice, FL 34285-9082
Phone (740) 704-5200

Other practice location 1

4501 Citizens Pkwy
North Port, FL 34288-6000
Phone (740) 704-5200 ext. 34288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170113000788 OH Practitioner - Nurse Practitioner 2668754334 Reassigns benefits to 1 organization
I20260616003691 FL Practitioner - Nurse Practitioner 2668754334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Port BH LLCGroup PAC ID 2961935622, 11 clinicians

Practice addresses (Care Compare)

4501 Citizens Pkwy
North Port, FL 34288-6000
Phone (941) 867-6872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.327478OHMDPsychiatric/Mental Health Registered Nurse
APRN11037058FLMDPsychiatric/Mental Health Nurse Practitioner
APRN.CNP.020123OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Behavioral Health, LLC Psychiatric/Mental Health CurrentSince Jan 13, 2026 Accepting new patients

Locations

206 S Mulberry St
Mount Vernon, OH 43050
Phone (740) 392-1871

206 S Mulberry St
Ste A
Mount Vernon, OH 43050
Phone (330) 473-2569

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.

NPI Registry JSON

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

{
    "created_epoch": "1475366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1447709449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859082",
            "telephone_number": "740-704-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859082",
            "telephone_number": "740-704-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Citizens Pkwy",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342886000",
            "country_code": "US",
            "telephone_number": "740-704-5200 x34288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SECKMAN",
        "first_name": "ANGELA",
        "credential": "DNP, PMHNP-BC, CNL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-02",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.020123",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN.327478",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11037058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.