Active NPI
Angela Seckman, DNP, PMHNP-BC, CNL
- Psychiatric/Mental Health Nurse Practitioner
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN.CNP.020123
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN.327478 | OH | MD | Psychiatric/Mental Health Registered Nurse |
| APRN11037058 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| APRN.CNP.020123 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive Behavioral Health, LLC | Psychiatric/Mental Health | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Mount Vernon, OH
- NPI 1003601220
OH, Psychiatric/Mental Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.