Seaside Wellness Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SEASIDE WELLNESS CENTER LLC

Practice address

2609 Highway 101 N Ste 203
Seaside, OR 97138-4344

Phone

(503) 717-5284

Fax

(844) 364-9424

NPI assigned

Apr 4, 2018

Last updated

Apr 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julia A Weinberg, PHD LPCNPI 1962801456

Title

Owner/LPC

Phone

(503) 717-5284

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julia Weinberg, PHD LPC

  • Professional Counselor
  • Seaside, OR
  • NPI 1962801456
  NPD Authorized official

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1871099234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 HIGHWAY 101 N STE 203",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971384344",
            "telephone_number": "503-717-5284",
            "fax_number": "844-364-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 HIGHWAY 101 N STE 203",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971384344",
            "telephone_number": "503-717-5284",
            "fax_number": "844-364-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "503-717-5284",
        "authorized_official_credential": "PHD LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seaside Chiropractic Clinic P C
• Seaside Dental Clinic
• Seaside Precision Vision
• Seaside Senior Living LLC (NECANICUM VILLAGE Assisted Living & Memory Care Community)
• Seaside Urgent Care
• Lori Sue Shellman, APRN
• Rachel A Shepard, FNP
• Laurie Simpkins
• Robyn Simpson
• James V. Sisk, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Seaside, OR
• Providers in Seaside, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.