Individual provider Active NPI

Lourdes Anggelina Secchi, LMHC

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1760606461
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8691 Issued in FL
Practice address
49 Kessel CT
Madison, WI 53711-6275
Phone
(608) 280-2495
Fax
(608) 280-2428
NPI assigned
Apr 12, 2007
Last updated
May 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2017

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 MH8691 FL Primary

Addresses

Primary practice location

49 Kessel CT
Madison, WI 53711-6275

Mailing address

6206 Maywood Ave Apt 302
Middleton, WI 53562-2774
Phone (603) 332-8962

Other identifiers 1

IdentifierTypeStateIssuer
1760606461MedicaidWI

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

State licenses

LicenseStateTypeSpecialty
MH8691FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1760606461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 MAYWOOD AVE APT 302",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622774",
            "telephone_number": "603-332-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 KESSEL CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537116275",
            "telephone_number": "608-280-2495",
            "fax_number": "608-280-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECCHI",
        "first_name": "LOURDES",
        "middle_name": "ANGGELINA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760606461",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.