Seachange Health & Wellness Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

WA30002439 Issued in WA

Legal business name

SEACHANGE HEALTH & WELLNESS INC

Practice address

1915 25TH Ave S Unit a
Seattle, WA 98144-4708

Phone

(206) 632-9522

Fax

(877) 883-1876

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Kathy J Wilmering, MSW ARNPNPI 1083758924

Title

President

Phone

(206) 632-9522

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathy J Wilmering, MSW ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
  • NPI 1083758924

  Counselor

  Medicare reassignment NPD Authorized official
• Nancy Lieurance, MSW

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1528140415
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1841334786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 CALIFORNIA AVE SW UNIT 16325",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981160816",
            "telephone_number": "206-632-9522",
            "fax_number": "206-632-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 25TH AVE S UNIT A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444708",
            "telephone_number": "206-632-9522",
            "fax_number": "877-883-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACHANGE HEALTH & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "WILMERING",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-632-9522",
        "authorized_official_credential": "MSW ARNP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH0006554",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LH00006554",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "WA30002439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sea-Mar Community Health Center
• Carolyn Seaborne, LMHC
• Kalyca Nicole Seabrook, ARNP, DNP
• Brea Adele Seaburg, ARNP
• Michael Seacat
• Seagate Psychological Services, PLLC
• Cynthia Margaret Seager, LMHC
• Jenna Seal, ARNP
• Robert H Seale, MD
• Corina Mihaela Seales

• Psychiatric/Mental Health Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.