Active NPI
Gearl C Seal, CDS II, CDVC II
- Addiction (Substance Use Disorder) Counselor
- The Dalles, OR
National Provider Identifier
1114118833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1060 Webber St
The Dalles, OR 97058-3749 - Phone
- (541) 296-5452
- Fax
- (541) 296-1537
- NPI assigned
- Aug 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A21377 | IN | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | WA | Primary |
Addresses
Primary practice location
1060 Webber St
The Dalles, OR 97058-3749
Mailing address
205 NE 4TH St
Prineville, OR 97754-1925
Phone (541) 416-1095
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
| License | State | Type | Specialty |
|---|---|---|---|
| A21377 | IN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Columbia Center for Living | Current | Accepting new patients | |
| Mid-Columbia Center for Living | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
1060 Webber St
The Dalles, OR 97058
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.
-
dba McCfl the Dalles Och
- Community/Behavioral Health Agency
- The Dalles, OR
- NPI 1275954513
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- The Dalles, OR
- NPI 1699745794
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1114118833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 NE 4TH ST",
"city": "PRINEVILLE",
"state": "OR",
"postal_code": "977541925",
"telephone_number": "541-416-1095",
"fax_number": "541-416-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 WEBBER ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970583749",
"telephone_number": "541-296-5452",
"fax_number": "541-296-1537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEAL",
"first_name": "GEARL",
"middle_name": "C",
"credential": "CDS II, CDVC II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-07",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IN",
"license": "A21377",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.