Active NPI
Kawena H Seagle, LPC
- Mental Health Counselor
- Scottsdale, AZ
National Provider Identifier
1669939906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-17865
- Practice address
- 15455 N Greenway Hayden Loop Ste C9
Scottsdale, AZ 85260-1887 - Phone
- (480) 454-5590
- Fax
- (480) 454-5590
- NPI assigned
- Feb 22, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-17865 | AZ | Primary |
Addresses
Primary practice location
15455 N Greenway Hayden Loop Ste C9
Scottsdale, AZ 85260-1887
Mailing address
15455 N Greenway Hayden Loop Ste C9
Scottsdale, AZ 85260-1887
Phone (480) 454-5590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 9, 2024 through Feb 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-17865 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558828800000",
"number": "1669939906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15455 N GREENWAY HAYDEN LOOP STE C9",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601887",
"telephone_number": "480-454-5590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15455 N GREENWAY HAYDEN LOOP STE C9",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601887",
"telephone_number": "480-454-5590",
"fax_number": "480-454-5590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEAGLE",
"first_name": "KAWENA",
"middle_name": "H",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-22",
"last_updated": "2019-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-17865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.