Individual provider Active NPI

Sean Galiczynski

  • Professional Counselor
  • Warminster, PA
National Provider Identifier
1487280988
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1200 Old York Rd Ste 101
Warminster, PA 18974-2034
Phone
(215) 394-8625
Fax
(215) 933-6898
NPI assigned
Mar 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1200 Old York Rd Ste 101
Warminster, PA 18974-2034

Mailing address

1200 Old York Rd Ste 101
Warminster, PA 18974-2034
Phone (215) 394-8625

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.theranest.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Liv Associates, Inc. CurrentSince Mar 22, 2020 Accepting new patients
Liv Well Associates PastSince Mar 22, 2020 Accepting new patients

Locations

1200 Old York Rd
Ste 101
Warminster, PA 18974
Phone (215) 394-8625

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": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1487280988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD STE 101",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742034",
            "telephone_number": "215-394-8625",
            "fax_number": "215-933-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD STE 101",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742034",
            "telephone_number": "215-394-8625",
            "fax_number": "215-933-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALICZYNSKI",
        "first_name": "SEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.theranest.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1200 Old York Rd Ste 101",
            "city": "Warminster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189742034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.