Active NPIIndividual providerSole proprietor

Nicholas Grudev, LCMHC

Counselor, Mental Health in Sheldon, Vermont

NPI Number1053955773
Practice location
4038 Pond RD, Sheldon, VT 05483-8390
Fax
—
Last updated
January 6, 2025

Nicholas Grudev is a Counselor, Mental Health based in Sheldon, VT. Nicholas Grudev practices in Sheldon, VT and has the professional credentials of LCMHC. The NPI Number for Nicholas Grudev is 1053955773 and holds a License No. 068.0134184 (VT). The current practice location address for Nicholas Grudev is 4038 Pond RD, Sheldon, VT 05483-8390 and can be reached out via phone at 203-300-7679.

Provider Profile Details

NPI Number
1053955773
Provider Name
Nicholas Grudev
Credential
LCMHC
Provider Entity Type
Individual
Gender
Male
Address
4038 Pond RD, Sheldon, VT 05483-8390
Phone Number
203-300-7679
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
November 6, 2019
Last Update Date
January 6, 2025
Certification Date
January 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
4038 Pond RD
Sheldon, VT 05483-8390
State
Vermont
Zip
05483-8390
Phone Number
203-300-7679
Sheldon, VT 05483Get directions →

Provider Business Mailing Address Details

Address
4038 Pond RD
Sheldon, VT 05483-8390
City
Sheldon
State
VT
Zip
05483-8390
Phone Number
203-300-7679

License Information

License Number
068.0134184
License State
VT
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicholas Grudev, LCMHC?

The NPI number of Nicholas Grudev, LCMHC is 1053955773. It was assigned on November 6, 2019 and is currently active in the NPPES registry.

What is the specialty of Nicholas Grudev, LCMHC?

Nicholas Grudev, LCMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 068.0134184.

Where does Nicholas Grudev, LCMHC practice?

The practice location is 4038 Pond RD, Sheldon, VT 05483-8390. The office can be reached at 203-300-7679 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053955773 directly on the NPPES registry website.

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