Miriam Ayala Seco, MA PSYCHOLOGY

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2016035423 Issued in MO

Practice address

614 South Ave
Springfield, MO 65806-3110

Phone

(417) 869-9011

NPI assigned

Feb 14, 2018

Last updated

Feb 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Betty and Bobby Allison Ozarks Counseling Center

  • Counselor
  • Springfield, MO
  • NPI 1164517934
  NPD (past)

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1134629439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 N PROSPECT AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023540",
            "telephone_number": "417-355-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 SOUTH AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658063110",
            "telephone_number": "417-869-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA SECO",
        "first_name": "MIRIAM",
        "name_prefix": "Mrs.",
        "credential": "MA PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2016035423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen L Aviles, CRNA
• Matthew Massoud Awad, MS, PLPC
• Awaken360, Inc.
• Awh of Springfield, LLC.
• Mark W Axford, O.D.
• Natalie Azevedo, LCSW
• Joseph G. Babin, MD
• Steven Paul Baca, D.C.
• Erin McKenzie Bachus, PLPC
• Stacey Back

• Mental Health Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.