Individual provider Active NPI

Kimberly Marie Seheult, M ED, MHP, LAPC

  • Behavior Analyst
  • Kennesaw, GA
National Provider Identifier
1053636860
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
APC002550 Issued in GA
Practice address
2055 Barrett Lakes Blvd
Apt 1402
Kennesaw, GA 30144
Phone
(404) 693-1559
Fax
(404) 745-0271
NPI assigned
Apr 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X APC002550 GA
Behavior Analyst 103K00000X APC002550 GA Primary
Counseling Psychologist 103TC1900X APC002550 GA

Addresses

Primary practice location

2055 Barrett Lakes Blvd
Apt 1402
Kennesaw, GA 30144

Mailing address

2055 Barrett Lakes Blvd
Apt 1402
Kennesaw, GA 30144
Phone (404) 693-1559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
APC002550GAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1053636860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 BARRETT LAKES BLVD",
            "address_2": "APT 1402",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30144",
            "telephone_number": "404-693-1559",
            "fax_number": "404-745-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 BARRETT LAKES BLVD",
            "address_2": "APT 1402",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30144",
            "telephone_number": "404-693-1559",
            "fax_number": "404-745-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEHEULT",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "M ED, MHP, LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC002550",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "APC002550",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "APC002550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.