Active NPI
Nicole M. Seitz, LPC (PA) LPCC NM)
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1982949392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CCMH0175511
- Practice address
- 313 S 16TH St
Philadelphia, PA 19102-4908 - Phone
- (267) 971-5729
- NPI assigned
- Dec 11, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC006500 | PA | |
| Professional Counselor | 101YP2500X | CCMH0175511 | NM | Primary |
Addresses
Primary practice location
313 S 16TH St
Philadelphia, PA 19102-4908
Mailing address
100 W 19TH St
Silver City, NM 88061-5605
Phone (267) 971-5729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 12, 2024 through Jan 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCMH0175511 | NM | MD | Professional Counselor |
| PC006500 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1982949392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W 19TH ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880615605",
"telephone_number": "267-971-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 S 16TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024908",
"telephone_number": "267-971-5729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEITZ",
"first_name": "NICOLE",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "LPC (PA) LPCC NM)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-11",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC006500",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CCMH0175511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.