Active NPI
Candice Rae Manely Seidler, MA, PLPC
- Professional Counselor
- Saint Peters, MO
National Provider Identifier
1881260057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2021018570
- Practice address
- 6055 Mexico Rd
Saint Peters, MO 63376-1632 - Phone
- (636) 294-2694
- NPI assigned
- May 28, 2021
- Last updated
- May 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2021018570 | MO | Primary |
Addresses
Primary practice location
6055 Mexico Rd
Saint Peters, MO 63376-1632
Mailing address
6055 Mexico Rd
Saint Peters, MO 63376-1632
Phone (314) 283-4188
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021018570 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1881260057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6055 MEXICO RD",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761632",
"telephone_number": "314-283-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6055 MEXICO RD",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761632",
"telephone_number": "636-294-2694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDLER",
"first_name": "CANDICE",
"middle_name": "RAE MANELY",
"name_prefix": "Ms.",
"credential": "MA, PLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-28",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2021018570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.