Jay Edwin Seppanen, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-17361 Issued in AZ

Practice address

3130 E Broadway Blvd
Tucson, AZ 85716-5863

Phone

(520) 327-4505

NPI assigned

Jun 5, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Buena Vista Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cave Creek, AZ
  • NPI 1578002572
  NPD (past)
• Buena Vista Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Chandler, AZ
  • NPI 1750823498
  NPD (past)

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1598257537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857165863",
            "telephone_number": "520-327-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857165863",
            "telephone_number": "520-327-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPPANEN",
        "first_name": "JAY",
        "middle_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeong Ho Seo, DMD
• Christopher Peter Sepanski, D.C.
• Dustin James Sepich, M.D.
• Caroline Vogelei Sepp, PHARMD
• Ruth Seppala, RN, MSN, FNP
• Amanda Sepulveda, AGACNP
• Juliana Sofia Sepulveda
• Sequoia Springs Trauma Healing Center Inc
• Bailey Serafin, RBT
• Marybeth Theano Serdenes, OTR/L

• All providers in Tucson, AZ
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.