Individual provider Active NPI

Nicole A Seligson, LCMHC

  • Mental Health Counselor
  • Montpelier, VT
National Provider Identifier
1750020574
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0680134605 Issued in VT
Practice address
275 Sherwood Dr
Montpelier, VT 05602-8309
Phone
(802) 922-0690
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0680134605 VT Primary

Addresses

Primary practice location

275 Sherwood Dr
Montpelier, VT 05602-8309

Mailing address

275 Sherwood Dr
Montpelier, VT 05602-8309
Phone (802) 922-0690

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Montpelier Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 14, 2024 through Feb 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0680134605VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Gold Counseling LLC Mental Health CurrentSince Aug 28, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1750020574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SHERWOOD DR",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056028309",
            "telephone_number": "802-922-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SHERWOOD DR",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056028309",
            "telephone_number": "802-922-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIGSON",
        "first_name": "NICOLE",
        "middle_name": "A",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0680134605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Montpelier",
            "affiliation": "N",
            "endpointDescription": "business office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Montpelier",
            "address_1": "275 Sherwood Dr",
            "city": "Montpelier",
            "state": "VT",
            "country_code": "US",
            "postal_code": "056028309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

Verify at the official NPI Registry.