Organization Active NPI

Lori Seulean LLC

  • Professional Counselor
  • Troy, MO
National Provider Identifier
1104360239
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2014030564 Issued in MO
Legal business name
LORI SEULEAN LLC
Practice address
410 Sydna CT
Troy, MO 63379
Phone
(636) 290-5147
NPI assigned
Dec 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Lori Seulean, LPC
Title
Licensed Professional Counselor
Phone
(636) 290-5147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 2014030564 MO Primary

Addresses

Primary practice location

410 Sydna CT
Troy, MO 63379

Mailing address

410 Sydna CT
Troy, MO 63379
Phone (636) 290-5147

Other identifiers 1

IdentifierTypeStateIssuer
1104360239MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1104360239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SYDNA CT",
            "city": "TROY",
            "state": "MO",
            "postal_code": "63379",
            "telephone_number": "636-290-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SYDNA CT",
            "city": "TROY",
            "state": "MO",
            "postal_code": "63379",
            "telephone_number": "636-290-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI SEULEAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "SEULEAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "636-290-5147",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2014030564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104360239",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.