Organization Active NPI

Karl E Seashore, LPC, PC

  • Professional Counselor
  • Salt Lake City, UT
National Provider Identifier
1649247883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
362944-6004 Issued in UT
Legal business name
KARL E SEASHORE, LPC, PC
Practice address
4190 Highland Dr
Suite 211
Salt Lake City, UT 84124-2600
Phone
(801) 272-0613
Fax
(801) 272-0678
NPI assigned
Mar 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karl E Seashore, M.S., L.P.C.NPI 1518934744
Title
President
Phone
(801) 272-0613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 362944-6004 UT Primary

Addresses

Primary practice location

4190 Highland Dr
Suite 211
Salt Lake City, UT 84124-2600

Mailing address

4190 Highland Dr
Suite 211
Salt Lake City, UT 84124-2600
Phone (801) 272-0613

Other identifiers 1

IdentifierTypeStateIssuer
66020OtherUTUNI BEHAVIORAL HEALTH NET

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649247883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 HIGHLAND DR",
            "address_2": "SUITE 211",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242600",
            "telephone_number": "801-272-0613",
            "fax_number": "801-272-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 HIGHLAND DR",
            "address_2": "SUITE 211",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242600",
            "telephone_number": "801-272-0613",
            "fax_number": "801-272-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARL E SEASHORE, LPC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEASHORE",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-272-0613",
        "authorized_official_credential": "M.S., L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "362944-6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNI BEHAVIORAL HEALTH NET",
            "identifier": "66020",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.