Active NPI
Christopher Glen Seals, MS, LPC, LCDC, NCC
- Professional Counselor
- Dallas, TX
National Provider Identifier
1225780703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 87819
- Practice address
- 4004 Worth St
Dallas, TX 75246-1607 - Phone
- (214) 623-6830
- Fax
- (214) 623-6807
- NPI assigned
- Jan 25, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16031 | TX | |
| Professional Counselor | 101YP2500X | 87819 | TX | Primary |
Addresses
Primary practice location
4004 Worth St
Dallas, TX 75246-1607
Mailing address
539 W Commerce St # 2613
Dallas, TX 75208-1953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16031 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 87819 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| AIDS Arms, Inc. | Current | Accepting new patients | |
| AIDS Arms, Inc. | Current | Accepting new patients | |
| David M Lee, MD, PA | Current | Accepting new patients |
Locations
4004 Worth St
Dallas, TX 75246
Phone (214) 623-6830
3900 Junius St
Ste 300
Dallas, TX 75246
Phone (214) 521-5191
4004 Worth St
Ste 100
Dallas, TX 75246
Phone (214) 623-6830
219 Sunset Ave
Ste 116A
Dallas, TX 75208
Phone (469) 749-7822
Interoperability endpoints
- christopher.seals.1@29669.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1609852813
-
- General Practice Dentistry
- Dallas, TX
- NPI 1841986999
-
- Federally Qualified Health Center (FQHC)
- Dallas, TX
- NPI 1073576864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1225780703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 W COMMERCE ST # 2613",
"city": "DALLAS",
"state": "TX",
"postal_code": "752081953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 WORTH ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461607",
"telephone_number": "214-623-6830",
"fax_number": "214-623-6807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEALS",
"first_name": "CHRISTOPHER",
"middle_name": "GLEN",
"name_prefix": "Mr.",
"credential": "MS, LPC, LCDC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-25",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "16031",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "87819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.