Individual provider Active NPI

Alexis Seabaugh, LPC

  • Professional Counselor
  • Caruthersville, MO
National Provider Identifier
1285101238
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
915 Highway 84 W
Caruthersville, MO 63830-8113
Phone
(573) 333-5875
NPI assigned
Oct 29, 2018
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2018037625 MO
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

915 Highway 84 W
Caruthersville, MO 63830-8113

Mailing address

915 Highway 84 W
Caruthersville, MO 63830-8113
Phone (573) 333-5875

Other names 1

  • Alexis Purcell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: No
  • 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
I20231211001404 MO Practitioner - Mental Health Counselor 7113376583 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Family Counseling Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
New Vision Youth and Family Services Inc Professional PastSince May 1, 2002 Accepting new patients

Locations

20 S Sprigg St
Cape Girardeau, MO 63703
Phone (573) 651-4177

915 Highway 84 W
Caruthersville, MO 63830
Phone (573) 333-5203

1109 Jones St
Kennett, MO 63857
Phone (573) 888-6454

3001 Warrior Ln
Poplar Bluff, MO 63901
Phone (573) 868-1200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1285101238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHWAY 84 W",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638308113",
            "telephone_number": "573-333-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HIGHWAY 84 W",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638308113",
            "telephone_number": "573-333-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEABAUGH",
        "first_name": "ALEXIS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2018037625",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "PURCELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Caruthersville, MO

Sources for this page

Verify at the official NPI Registry.