Individual provider Active NPI

Allen Seaquist, MA, LPCC

  • Mental Health Counselor
  • Coon Rapids, MN
National Provider Identifier
1679460208
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC05017 Issued in MN
Practice address
10077 Dogwood St NW Ste 202
Coon Rapids, MN 55448-5286
Phone
(952) 367-9532
NPI assigned
Jun 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC05017 MN Primary

Addresses

Primary practice location

10077 Dogwood St NW Ste 202
Coon Rapids, MN 55448-5286

Mailing address

2095 Palace Ave
Saint Paul, MN 55105-1330
Phone (952) 367-9532

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CC05017MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling LLC Mental Health CurrentSince Jun 23, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1679460208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 PALACE AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051330",
            "telephone_number": "952-367-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10077 DOGWOOD ST NW STE 202",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554485286",
            "telephone_number": "952-367-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAQUIST",
        "first_name": "ALLEN",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC05017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.