Individual provider Active NPI

Amy Seiders, LMFT, LPC, CCM

  • Marriage & Family Therapist
  • Arlington, TX
National Provider Identifier
1053935395
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
5130 Issued in TX
Practice address
2314 Stone Bridge Dr
Arlington, TX 76006-2773
Phone
(817) 894-4641
NPI assigned
Jun 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 20022 TX
Marriage & Family Therapist 106H00000X 5130 TX Primary

Addresses

Primary practice location

2314 Stone Bridge Dr
Arlington, TX 76006-2773

Mailing address

2314 Stone Bridge Dr
Arlington, TX 76006-2773
Phone (817) 894-4641

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

State licenses

LicenseStateTypeSpecialty
20022TXMDMental Health Counselor
5130TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Higi Professionals of Delaware Professional Corporation Current Accepting new patients
Alex Mohseni MD PC Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1053935395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 STONE BRIDGE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760062773",
            "telephone_number": "817-894-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 STONE BRIDGE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760062773",
            "telephone_number": "817-894-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDERS",
        "first_name": "AMY",
        "credential": "LMFT, LPC, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "20022",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "5130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.