Active NPI
Edna Elizabeth Seabrooks, LPCC
- Professional Counselor
- Lebanon, KY
National Provider Identifier
1649473174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0456
- Practice address
- 625 Lisa Ave
Lebanon, KY 40033-1016 - Phone
- (859) 200-0929
- NPI assigned
- Jun 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0456 | KY | Primary |
Addresses
Primary practice location
625 Lisa Ave
Lebanon, KY 40033-1016
Mailing address
625 Lisa Ave
Lebanon, KY 40033-1016
Phone (859) 200-0929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0456 | KY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649473174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 LISA AVE",
"city": "LEBANON",
"state": "KY",
"postal_code": "400331016",
"telephone_number": "859-200-0929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 LISA AVE",
"city": "LEBANON",
"state": "KY",
"postal_code": "400331016",
"telephone_number": "859-200-0929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEABROOKS",
"first_name": "EDNA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "0456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.