| Nikolay N Sergeevykh, LCPC | |
|
809 Francis Ave, Halethorpe, MD 21227-4219 | |
| (443) 869-6512 | |
| Not Available |
| Full Name | Nikolay N Sergeevykh |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 25 Years |
| Location | 809 Francis Ave, Halethorpe, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205166246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC3110 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cedar Ridge Counseling Centers, Llc | 4981649738 | 41 |
| Entity Name | Cedar Ridge Counseling Centers, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932103926 PECOS PAC ID: 4981649738 Enrollment ID: O20110628000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Nikolay N Sergeevykh, LCPC 809 Francis Ave, Halethorpe, MD 21227-4219 Ph: (443) 869-6512 | Nikolay N Sergeevykh, LCPC 809 Francis Ave, Halethorpe, MD 21227-4219 Ph: (443) 869-6512 |
Crystal Sharrell Dorsey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 Washington Ave, Halethorpe, MD 21227 Phone: 667-600-3900 | |
Miss Ashley Bernice Banks, LCPC15143 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1421 S Caton Ave, Halethorpe, MD 21227 Phone: 443-625-7892 | |
Matthew Beckwith, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1813 Main St, Halethorpe, MD 21227 Phone: 315-289-7545 | |
Theresa Marie Shedleski, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 2700 Washington Ave, Halethorpe, MD 21227 Phone: 667-600-3984 Fax: 667-600-4065 | |
Mr. Michael Towers, CAC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 3203 Hilltop Ave, Halethorpe, MD 21227 Phone: 443-540-5109 | |
Ms. Elizabeth Venenga, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 Washington Ave, Halethorpe, MD 21227 Phone: 667-600-2272 Fax: 667-600-4065 |