Sea Glass Therapy and Wellness LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SEA GLASS THERAPY AND WELLNESS LLC

Practice address

3359 Penzance Ave
Chico, CA 95973-9683

Phone

(405) 451-5330

NPI assigned

Oct 14, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kaylynn Adler, LCSWNPI 1215400882

Title

Psychotherapist

Phone

(901) 326-3815

Specialties & licenses 2

Addresses

Other names 1

• Sea Glass Therapy and Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaylynn Danielle Adler, LCSW

  • Clinical Social Worker
  • Chico, CA
  • NPI 1215400882
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1043030174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 MANGROVE AVE # 137",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262648",
            "telephone_number": "405-451-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3359 PENZANCE AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959739683",
            "telephone_number": "405-451-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA GLASS THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "KAYLYNN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "901-326-3815",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sea Glass Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven A Schwartz, M.D.
• Alexandra Scott-Jeltsch, CCC-SLP
• Brianna Rose Scott
• Lisa Olivia Scott, CATCI
• Jayson Robert Scoubes
• Amanda Elizabeth Seagraves
• Saville Lamar Seagraves
• Angie Lynn Sealey, LVN
• Elizabeth Joanne Seaman, FNP
• Ashley Marie Sears

• Adult Mental Health Clinic/Center in Chico, CA
• Providers in Chico, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.