Active NPI
Nichole Marie Seabolt, MA
- Mental Health Counselor
- Gig Harbor, WA
National Provider Identifier
1174852883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- RC00046993
- Practice address
- 6712 Kimball Dr
Suite 103
Gig Harbor, WA 98335-1212 - Phone
- (253) 226-8610
- NPI assigned
- Dec 9, 2009
- Sex
- Female
- 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 | RC00046993 | WA | Primary |
Addresses
Primary practice location
6712 Kimball Dr
Suite 103
Gig Harbor, WA 98335-1212
Mailing address
6712 Kimball Dr
Suite 103
Gig Harbor, WA 98335-1212
Phone (253) 226-8610
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00046993 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1174852883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6712 KIMBALL DR",
"address_2": "SUITE 103",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351212",
"telephone_number": "253-226-8610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6712 KIMBALL DR",
"address_2": "SUITE 103",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351212",
"telephone_number": "253-226-8610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEABOLT",
"first_name": "NICHOLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-09",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RC00046993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.