Isaac B Seagrave, CT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C2103260TRNE Issued in OH

Practice address

211 Biede Ave
Defiance, OH 43512-2497

Phone

(419) 782-8856

NPI assigned

Jun 15, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maumee Valley Guidance Center IncGroup PAC ID 0547293003, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Maumee Valley Guidance Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Defiance, OH
  • NPI 1033189642
  Medicare reassignment Care Compare group NPD (past)

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1699343798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BIEDE AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122497",
            "telephone_number": "419-782-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BIEDE AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122497",
            "telephone_number": "419-782-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAGRAVE",
        "first_name": "ISAAC",
        "middle_name": "B",
        "credential": "CT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C2103260TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billie Schomaeker
• Jaimee M Schreiber
• Laura Jo Schroeder
• Sara Renee Schuette, PT
• Austin R Schultz, PHARMD
• Alyson Seibert
• Elizabeth Marie Seibert, PHARMD
• Katherine Shaffer
• Nancy Shannon, LSW
• Mohamed Omer Sharif, M.D.

• Mental Health Counselor in Defiance, OH
• Providers in Defiance, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.