Individual provider Active NPI

Rebecca Ann Seymour, LMHC, CMHC, LCPC, LP

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1114506938
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61550983 Issued in WA
Practice address
511 28TH Ave E
Seattle, WA 98112-4161
Phone
(801) 655-5450
Fax
(385) 225-9327
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0017055 CO
Professional Counselor 101YP2500X 2571036 ID
Mental Health Counselor 101YM0800X LH61550983 WA Primary
Mental Health Counselor 101YM0800X 14196333-6004 UT

Addresses

Primary practice location

511 28TH Ave E
Seattle, WA 98112-4161

Mailing address

1469 N 1200 W
Orem, UT 84057-2449
Phone (801) 655-5450

Other practice location 1

22232 17th Ave SE Ste 307
Bothell, WA 98021-7425
Phone (801) 655-5450

Other practice location 2

2175 Academy Cir Ste 200-3
Colorado Springs, CO 80909-1695
Phone (801) 655-5450

Other practice location 3

661 S Woodruff Ave
Idaho Falls, ID 83401-5596
Phone (801) 655-5450

Other practice location 4

26 W Dry Creek Cir Ste 600
Littleton, CO 80120-8066
Phone (801) 655-5450

Other practice location 5

22232 17th Ave SE Ste 305
Bothell, WA 98021-7425
Phone (801) 655-5450

Other practice location 6

1469 N 1200 W
Orem, UT 84057-2449
Phone (801) 655-5450

Other names 1

  • Rebecca Ann Wierman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241107003079 WA Practitioner - Mental Health Counselor 8123475092 Reassigns benefits to 1 organization
I20260409000628 ID Practitioner - Mental Health Counselor 8123475092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1469 N 1200
Orem, UT 84057-2449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14196333-6004UTMDMental Health Counselor
LPC.0017055COMDProfessional Counselor
2571036IDMDProfessional Counselor
5683CTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowbrook Counseling of Idaho, LLC Mental Health CurrentSince Feb 1, 2025 Accepting new patients
Meadowbrook Counseling of Washington, LLC Mental Health CurrentSince Oct 1, 2024 Accepting new patients
Meadowbrook Counseling of Utah LLC Mental Health PastSince Oct 1, 2024 Accepting new patients
Meadowbrook Counseling of Colorado, LLC Mental Health PastSince Feb 9, 2025 Accepting new patients

Locations

3345 E Chasewood Dr
Ammon, ID 83406

2270 Teton Plz
Idaho Falls, ID 83404

661 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 206-1588

1469 N 1200 W
Orem, UT 84057
Phone (801) 210-1432

22232 17th Ave SE
Ste 307
Bothell, WA 98021

22232 17th Ave SE
Ste 305
Bothell, WA 98021

511 28th Ave E
Seattle, WA 98112
Phone (206) 323-3400

Networks

  • UT PPO
  • UT PPO D-SNP

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1114506938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 N 1200 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572449",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 28TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124161",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22232 17th Ave SE Ste 307",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980217425",
            "country_code": "US",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2175 Academy Cir Ste 200-3",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809091695",
            "country_code": "US",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "661 S Woodruff Ave",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834015596",
            "country_code": "US",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 W Dry Creek Cir Ste 600",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801208066",
            "country_code": "US",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22232 17th Ave SE Ste 305",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980217425",
            "country_code": "US",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1469 N 1200 W",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840572449",
            "country_code": "US",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "LMHC, CMHC, LCPC, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0017055",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "2571036",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61550983",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "14196333-6004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "WIERMAN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.