Active NPI
Theodore Seeds
- Mental Health Counselor
- Manhattan Beach, CA
National Provider Identifier
1124664164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 113873
- Practice address
- 1230 Rosecrans Ave Ste 300
Manhattan Beach, CA 90266-2494 - Phone
- (310) 694-4200
- NPI assigned
- Nov 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 113873 | CA | Primary |
Addresses
Primary practice location
1230 Rosecrans Ave Ste 300
Manhattan Beach, CA 90266-2494
Mailing address
1230 Rosecrans Ave Ste 300
Manhattan Beach, CA 90266-2494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 11, 2025 through Feb 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113873 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1124664164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 ROSECRANS AVE STE 300",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902662494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 ROSECRANS AVE STE 300",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902662494",
"telephone_number": "310-694-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEEDS",
"first_name": "THEODORE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-25",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "113873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.