Active NPI
Lori Seulean LLC
- Professional Counselor
- Troy, MO
National Provider Identifier
1104360239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2014030564
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104360239 | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI 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.