Individual provider Active NPI

Jaylon Seastrunk, LPC-ASSOCIATE

  • Professional Counselor
  • Plano, TX
National Provider Identifier
1841021920
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
92010 Issued in TX
Practice address
2415 Coit Rd Ste B
Plano, TX 75075-3758
Phone
(972) 596-7229
NPI assigned
Aug 12, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 92010 TX Primary

Addresses

Primary practice location

2415 Coit Rd Ste B
Plano, TX 75075-3758

Mailing address

850 Cecil Dr Apt 13159
Richardson, TX 75080-8400
Phone (903) 806-2451

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

State licenses

LicenseStateTypeSpecialty
92010TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gearing Up Counseling Centers, Inc. PastSince Aug 18, 2024 Accepting new patients
Gearing Up PastSince Aug 18, 2024 Accepting new patients
Linq Therapy, LLC Past Accepting new patients

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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1841021920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 CECIL DR APT 13159",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750808400",
            "telephone_number": "903-806-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 COIT RD STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753758",
            "telephone_number": "972-596-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEASTRUNK",
        "first_name": "JAYLON",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "92010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.