Courtney Seitz, MA, LPC-IT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5125-226 Issued in WI

Practice address

N5367 Mayflower Rd
Shiocton, WI 54170-8934

Phone

(920) 982-6100

NPI assigned

Oct 19, 2021

Last updated

Oct 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Courtney Frank Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Interoperability endpoints

• Direct secure messaging: courtney.seitz@25254901.chartlogic.direct-ci.com

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1477216216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 SOUTHRIDGE DR",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549617503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N5367 MAYFLOWER RD",
            "city": "SHIOCTON",
            "state": "WI",
            "postal_code": "541708934",
            "telephone_number": "920-982-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITZ",
        "first_name": "COURTNEY",
        "credential": "MA, LPC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5125-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "FRANK",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nina Powell, LCSW
• Heather Anne Reardon-Nabbefeld, MAC
• Jessica Rice
• School District of Shiocton
• Kristeen Schreiber, MAC,NCC
• Amy Michelle Shauger, LPN
• Shiocton-Bovina Fire Department
• Sandee Spaulding Cornell
• Caitlyn Quinn Tielens, LPC
• Christina Van Eyck, PTA

• Mental Health Counselor in Shiocton, WI
• Providers in Shiocton, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.