NICHOLAS GRUDEV LCMHC NPI 1053955773

NPI Information

NPI: 1053955773
Provider Name: NICHOLAS GRUDEV, LCMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
15 PINECREST DR # 12
ESSEX JUNCTION, VT
ZIP 05452
Phone: (802) 662-4298
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Nicholas Grudev, LCMHC is a mental health counselor in Essex Junction, VT. Nicholas Grudev, LCMHC NPI is 1053955773. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15 PINECREST DR # 12
ESSEX JUNCTION, VT
ZIP 05452-912
Phone: (802) 662-4298
Fax: (802) 662-4538

The NPI 1053955773 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/6/2019 and was last updated on 11/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	068.0134184	VERMONT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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