Individual provider Active NPI

Augustus C Sealy, PHD LMHC

  • Mental Health Counselor
  • Santa Clarita, CA
National Provider Identifier
1750448965
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14957 Issued in CA
Practice address
28490 Avenue Stanford Ste 140
Santa Clarita, CA 91355-0921
Phone
(661) 651-8596
Fax
(661) 383-9556
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 002185 CT
Counselor 101Y00000X 3864 MA
Mental Health Counselor 101YM0800X 14957 CA Primary

Addresses

Primary practice location

28490 Avenue Stanford Ste 140
Santa Clarita, CA 91355-0921

Mailing address

28490 Avenue Stanford Ste 140
Santa Clarita, CA 91355-0921
Phone (661) 651-8596

Other practice location 1

370 Main St Ste 910
Worcester, MA 01608-1723
Phone (617) 851-1082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240702002833 CA Practitioner - Mental Health Counselor 3678017530 Practice locations: Santa Clarita, CA
I20241002001977 MA Practitioner - Mental Health Counselor 3678017530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20000 Plum Canyon Rd
Unit 1815
Santa Clarita, CA 91350-2416
Phone (661) 651-8596

370 Main St
Suite 910
Worcester, MA 01608-1723
Phone (617) 851-1082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Education, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3864MAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sealy Mental Health Counseling Service Inc. Mental Health CurrentSince Aug 26, 2024 Accepting new patients
South Bay Mental Health Center, Inc. Past Accepting new patients
New Bridge to Holistic Health LLC PastSince Aug 26, 2024 Accepting new patients

Locations

28490 Avenue Stanford
Ste 140
Santa Clarita, CA 91355
Phone (661) 383-9561

28490 Avenue Stanford
#140
Valencia, CA 91355

370 Main St
Ste 910
Worcester, MA 01608
Phone (508) 873-0277

Organizations & group practices 3

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1750448965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28490 AVENUE STANFORD STE 140",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913550921",
            "telephone_number": "661-651-8596",
            "fax_number": "661-383-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28490 AVENUE STANFORD STE 140",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913550921",
            "telephone_number": "661-651-8596",
            "fax_number": "661-383-9556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 Main St Ste 910",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081723",
            "country_code": "US",
            "telephone_number": "617-851-1082",
            "fax_number": "661-383-9556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEALY",
        "first_name": "AUGUSTUS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "002185",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "3864",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "14957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.