Active NPI
Jessica Dawn Seidel, LPC
- Professional Counselor
- Grapevine, TX
National Provider Identifier
1285289223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 74148
- Practice address
- 1452 Hughes Rd Ste 200
Grapevine, TX 76051-9221 - Phone
- (682) 738-6673
- NPI assigned
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 74148 | TX | Primary |
Addresses
Primary practice location
1452 Hughes Rd Ste 200
Grapevine, TX 76051-9221
Mailing address
1811 Marlene Dr
Euless, TX 76040-4813
Phone (972) 765-6123
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 |
|---|---|---|---|
| 74148 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Squared Counseling | Single Specialty | Current | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1285289223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 MARLENE DR",
"city": "EULESS",
"state": "TX",
"postal_code": "760404813",
"telephone_number": "972-765-6123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1452 HUGHES RD STE 200",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760519221",
"telephone_number": "682-738-6673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDEL",
"first_name": "JESSICA",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-06",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.