Organization Active NPI

Seed to Tree Counseling, LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1144786146
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SEED TO TREE COUNSELING, LLC
Practice address
104 Serenity Hills PL SE
Albuquerque, NM 87123-3970
Phone
(717) 495-9004
NPI assigned
Feb 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Mrs. Dylan Ottemiller Drusedum, LPCCNPI 1144767369
Title
Owner
Phone
(717) 495-9004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

104 Serenity Hills PL SE
Albuquerque, NM 87123-3970

Mailing address

104 Serenity Hills PL SE
Albuquerque, NM 87123-3970
Phone (717) 495-9004

Other practice location 1

707 Broadway Blvd NE Ste 103
Albuquerque, NM 87102-2300
Phone (505) 933-4639

Other identifiers 1

IdentifierTypeStateIssuer
34253858MedicaidNM

National Provider Directory

National Provider Directory

Locations

1400 Carlisle Blvd NE
Ste E
Albuquerque, NM 87110
Phone (505) 255-8890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1144786146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SERENITY HILLS PL SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233970",
            "telephone_number": "717-495-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SERENITY HILLS PL SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233970",
            "telephone_number": "717-495-9004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Broadway Blvd NE Ste 103",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871022300",
            "country_code": "US",
            "telephone_number": "505-933-4639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEED TO TREE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "DRUSEDUM",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_middle_name": "OTTEMILLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-495-9004",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34253858",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.