Latisha Nicole Sealey, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A14501 Issued in NC

Practice address

242 E Broad St
Statesville, NC 28677-5325

Phone

(980) 430-9205

NPI assigned

Apr 16, 2019

Sex

Female

Sole proprietor

Yes

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

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.

• Northern Piedmont Counseling PLLC

  • Mental Health Counselor
  • Mooresville, NC
  • NPI 1740689538
  NPD (past)

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1659934594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12025 BROWNESTONE VIEW DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697198",
            "telephone_number": "614-212-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 E BROAD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775325",
            "telephone_number": "980-430-9205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12025 Brownestone View Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282697198",
            "country_code": "US",
            "telephone_number": "614-212-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEALEY",
        "first_name": "LATISHA",
        "middle_name": "NICOLE",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A14501",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Scott, RN
• Patricia W. Scott
• Sculpted by Resilience LLC
• Susan Scutchings
• SDD Management
• Seema Garcha MD PA
• John Aldus Alexander Seldomridge III, MD
• Craig S Self, MD
• Sylvia Self, CRNA
• Senior Companion Services LLC

• Mental Health Counselor in Statesville, NC
• Providers in Statesville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.