Active NPI
Zachary Tyler Seaton, LPC
- Professional Counselor
- Magnolia, AR
National Provider Identifier
1174922140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1710364
- Practice address
- 412 N Vine
Magnolia, AR 71753 - Phone
- (870) 234-7500
- NPI assigned
- Aug 15, 2014
- Last updated
- Oct 1, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P1710364 | AR | Primary |
Addresses
Primary practice location
412 N Vine
Magnolia, AR 71753
Mailing address
715 N College Ave
El Dorado, AR 71730-4403
Phone (870) 864-2417
Other practice location 1
301-A Washington
Camden, AR 71753
Phone (870) 836-2321
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1710364 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Arkansas Youth Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Case Management Agency
- Camden, AR
- NPI 1699004440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1174922140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 N COLLEGE AVE",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717304403",
"telephone_number": "870-864-2417",
"fax_number": "870-864-7018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 N VINE",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "71753",
"telephone_number": "870-234-7500"
}
],
"practiceLocations": [
{
"address_1": "301-A Washington",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "AR",
"postal_code": "71753",
"country_code": "US",
"telephone_number": "870-836-2321",
"fax_number": "870-837-1195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEATON",
"first_name": "ZACHARY",
"middle_name": "TYLER",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-15",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1710364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Magnolia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.