Individual provider Active NPI

Elizabeth K Seal, MA; LMFT

  • Marriage & Family Therapist
  • Eureka, CA
National Provider Identifier
1871926238
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
107872 Issued in CA
Practice address
1802 California St
Eureka, CA 95501-2808
Phone
(707) 443-7359
Fax
(707) 443-1092
NPI assigned
Aug 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 107872 CA Primary

Addresses

Primary practice location

1802 California St
Eureka, CA 95501-2808

Mailing address

1802 California St.
Humboldt Family Service Center
Eureka, CA 95501
Phone (707) 443-7359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20251024001387 CA Practitioner - Marriage and Family Therapist 6901394584 Practice locations: Eureka, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Eureka, CA 95501
Phone (707) 572-0003

1059
Suite 1285
Ferndale, CA 95536-1285

1330 Stromberg Ave
Arcata, CA 95521-5125

600 F St
Suite 3
Arcata, CA 95521-6301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107872CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt Family Service Center Past Accepting new patients

Organizations & group practices 1

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": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1871926238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 CALIFORNIA ST.",
            "address_2": "HUMBOLDT FAMILY SERVICE CENTER",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "95501",
            "telephone_number": "707-443-7359",
            "fax_number": "707-443-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 CALIFORNIA ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955012808",
            "telephone_number": "707-443-7359",
            "fax_number": "707-443-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAL",
        "first_name": "ELIZABETH",
        "middle_name": "K",
        "credential": "MA; LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "107872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.