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NIKOLAY N SERGEEVYKH LCPC
NPI 1205166246
Counselor - Professional in Baltimore, MD

Active since January 13, 2010PECOS EnrolledAccepts Medicare Assignment
5711 RUSK AVE, BALTIMORE, MD 21215(443) 797-5549 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nikolay N Sergeevykh Lcpc NPPES

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

NIKOLAY N SERGEEVYKH LCPC (NPI 1205166246) is an individual professional provider in Baltimore, Maryland, licensed in Maryland (LC3110) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1205166246
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameNIKOLAY N SERGEEVYKHCredential: LCPC
Location Address5711 RUSK AVEBaltimore, MD 21215-4135
Mailing Address5711 Rusk AveBaltimore, MD 21215-4135 · (443) 797-5549
Phone(443) 797-5549
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 13, 2010
Last NPPES UpdateJanuary 16, 2026
NPPES CertifiedJanuary 16, 2026
✔ NPI 1205166246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC3110
5711 RUSK AVE, Baltimore, MD 21215
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nikolay N Sergeevykh Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325575889
PECOS Enrollment IDI20241220003577
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BALTIMORE COUNSELING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
5711 RUSK AVE
BALTIMORE, MD 21215
Baltimore City (443) 797-5549

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 Nikolay Sergeevykh's NPI number?

The NPI number for Nikolay Sergeevykh is 1205166246. It was assigned to this individual provider in the NPPES registry on January 13, 2010.

Where is Nikolay Sergeevykh located?

Nikolay Sergeevykh practices at 5711 Rusk Ave, Baltimore, MD 21215. The listed phone number is (443) 797-5549.

What is Nikolay Sergeevykh's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nikolay Sergeevykh enrolled in Medicare?

Yes. Nikolay Sergeevykh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nikolay Sergeevykh was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.