Bonneka Tiffany Seals, MS, NCC,LPC,CSAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6744-125 Issued in WI

Practice address

3235 N 124TH St
Brookfield, WI 53005

Phone

(262) 290-3315

NPI assigned

May 31, 2016

Last updated

Jun 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• A New Breathe of Life Counseling & Consulting, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brookfield, WI
  • NPI 1740929280
  NPD Authorized official

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1093163065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 MINAKA DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885604",
            "telephone_number": "414-828-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 N 124TH ST",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53005",
            "telephone_number": "262-290-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALS",
        "first_name": "BONNEKA",
        "middle_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "MS, NCC,LPC,CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16190-132",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6744-125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6744-125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100057092",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hedy Elise Schweitzer, APNP, FNP-BC
• Julia Grace Scopp, CCC-SLP
• Bonnie Jean Scott, PHYSICAL THERAPIST A
• Melinda Scott, BCBA
• Susan L Scott, PT
• Katelyn Sebald, PHARMD
• Jane Marie Sebzda, AU.D., CCC/A
• Kamarie Seebecker, LPC-IT, MFT
• Amy Seegert
• Michell Sejfovic

• Mental Health Counselor in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.