Sandra Joyce Seby, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PENDING Issued in AZ

Practice address

1338 W Forest Meadows St Ste 140
Flagstaff, AZ 86001-7226

Phone

(928) 212-8621

NPI assigned

Nov 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

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)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1538760426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 W FOREST MEADOWS ST STE 140",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017226",
            "telephone_number": "928-212-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 W FOREST MEADOWS ST STE 140",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017226",
            "telephone_number": "928-212-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBY",
        "first_name": "SANDRA",
        "middle_name": "JOYCE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Scott Seaman, DDS
• Seaside Sanctuary Clinic LLC
• Michelle Sebastian, RBT
• Mark V Seby, M.D.
• Michael Seby, MD
• Sedona Psychiatry
• Samantha Nicole Seery
• Antonio Segoviano
• Judith Bunnell Sellers, FNP
• Stephanie Selman, L.AC.

• Mental Health Counselor in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.