NICHOLAS GRUDEV LCMHC
NPI 1053955773
Counselor - Mental Health in Sheldon, VT

Active since November 06, 2019PECOS Enrolled
4038 POND RD, SHELDON, VT 05483(203) 300-7679 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2025, Nov 21, 2024, Nov 6, 2019 (3 updates tracked since 2019).

About Nicholas Grudev Lcmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS GRUDEV LCMHC (NPI 1053955773) is an individual mental health provider in Sheldon, Vermont, licensed in Vermont (068.0134184) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053955773
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameNICHOLAS GRUDEVCredential: LCMHC
Location Address4038 POND RDSheldon, VT 05483-8390
Mailing Address4038 Pond RdSheldon, VT 05483-8390 · (203) 300-7679
Sole ProprietorYes
Enumeration DateNovember 6, 2019
Last NPPES UpdateJanuary 6, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
NPI 1053955773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in VT · 068.0134184
4038 POND RD, Sheldon, VT 05483

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicholas Grudev Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Grudev's NPI number?

The NPI number for Nicholas Grudev is 1053955773. It was assigned to this individual provider in the NPPES registry on November 6, 2019.

Where is Nicholas Grudev located?

Nicholas Grudev practices at 4038 Pond Rd, Sheldon, VT 05483. The listed phone number is (203) 300-7679.

What is Nicholas Grudev's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicholas Grudev enrolled in Medicare?

Yes. Nicholas Grudev is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Grudev accept?

Health plans from Anthem Blue Cross and Blue Shield list Nicholas Grudev as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Grudev was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.