Individual provider Active NPI

Christopher Glen Seals, MS, LPC, LCDC, NCC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1225780703
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
87819 Issued in TX
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

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409003242 TX Practitioner - Mental Health Counselor 2769820877 Reassigns benefits to 1 organization
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16031TXMDAddiction (Substance Use Disorder) Counselor
87819TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Arms, Inc. Current Accepting new patients
AIDS Arms, Inc. CurrentSince Sep 1, 2024 Accepting new patients
David M Lee, MD, PA CurrentSince Sep 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.