Organization Active NPI

Seal Dwyer Counseling LLC

  • Community/Behavioral Health Agency
  • Saint Cloud, MN
National Provider Identifier
1083187579
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SEAL DWYER COUNSELING LLC
Practice address
601 W Saint Germain St
Saint Cloud, MN 56301-3665
Phone
(320) 296-2530
Fax
(320) 323-4387
NPI assigned
Jan 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Seal Sophie Dwyer, MS LMFTNPI 1679059992
Title
Principle
Phone
(320) 296-2530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

601 W Saint Germain St
Saint Cloud, MN 56301-3665

Mailing address

528 7TH Ave N
Saint Cloud, MN 56303-3522
Phone (320) 296-2530

Other names 1

  • --None-- Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240214002537 MN Part B Supplier - Clinic/Group Practice 7315381605 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Cloud, MN

National Provider Directory

National Provider Directory

Locations

601 W Saint Germain St
Saint Cloud, MN 56301
Phone (218) 600-6474

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1083187579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 7TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033522",
            "telephone_number": "320-296-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W SAINT GERMAIN ST",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013665",
            "telephone_number": "320-296-2530",
            "fax_number": "320-323-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAL DWYER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "SEAL",
        "authorized_official_middle_name": "SOPHIE",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "320-296-2530",
        "authorized_official_credential": "MS LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "--None--",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "--None--",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.