Individual provider Active NPI

Dena Stephanie Sidmore-Seyer, MS, CRC, LCPC

  • Professional Counselor
  • Dubuque, IA
National Provider Identifier
1265685804
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.015569 Issued in IL
Practice address
2615 Mesa Dr
Dubuque, IA 52001-1668
Phone
(563) 552-9211
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Rehabilitation Counselor 225C00000X CRC 00108799 CA
Professional Counselor 101YP2500X 180.015569 IL Primary

Addresses

Primary practice location

2615 Mesa Dr
Dubuque, IA 52001-1668

Mailing address

2615 Mesa Dr
Dubuque, IA 52001-1668
Phone (563) 552-9211

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 Science

State licenses

LicenseStateTypeSpecialty
180.015569ILMDProfessional Counselor
CRC 00108799CAMDRehabilitation Counselor

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1265685804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 MESA DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520011668",
            "telephone_number": "563-552-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 MESA DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520011668",
            "telephone_number": "563-552-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDMORE-SEYER",
        "first_name": "DENA",
        "middle_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "MS, CRC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "CA",
            "license": "CRC 00108799",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.