Individual provider Active NPI

Carol Seehusen, PHD, LMHC, NCC

  • Mental Health Counselor
  • Cedar Rapids, IA
National Provider Identifier
1447644539
Registry record updated Jul 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1435 31St St NE Ste B
Cedar Rapids, IA 52402-4056
Phone
(319) 775-0040
NPI assigned
Mar 26, 2015
Last updated
Jul 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1435 31St St NE Ste B
Cedar Rapids, IA 52402-4056

Mailing address

1435 31St St NE Ste B
Cedar Rapids, IA 52402-4056
Phone (319) 775-0040

Other practice location 1

3113 1st Ave SW
Cedar Rapids, IA 52405-4524
Phone (319) 361-6529

Other practice location 2

1140 31st St NE
Cedar Rapids, IA 52402-4018
Phone (319) 432-8929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20231205001235 IA Practitioner - Mental Health Counselor 4486986577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

375 Collins Rd NE
Cedar Rapids, IA 52402-3168
Phone (319) 775-0070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Carol Seehusen, PHD, LMHC, LLC CurrentSince Nov 4, 2023 Accepting new patients
Grace C Mae Advocate Center, Inc PastSince Jul 21, 2014 Accepting new patients
Grace C Mae Advocate Center Past Accepting new patients

Locations

1435 31st St NE
Ste B
Cedar Rapids, IA 52402
Phone (319) 775-0040

375 Collins Rd NE
Ste 16
Cedar Rapids, IA 52402
Phone (319) 361-7673

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595116800000",
    "number": "1447644539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 31ST ST NE STE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024056",
            "telephone_number": "319-775-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 31ST ST NE STE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024056",
            "telephone_number": "319-775-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3113 1st Ave SW",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524054524",
            "country_code": "US",
            "telephone_number": "319-361-6529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1140 31st St NE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524024018",
            "country_code": "US",
            "telephone_number": "319-432-8929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEEHUSEN",
        "first_name": "CAROL",
        "credential": "PHD, LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2020-07-19",
        "certification_date": "2020-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.