Individual provider Active NPI

Lynn Marie Betz Seybold, LPC

  • Mental Health Counselor
  • Lakewood, CO
National Provider Identifier
1902979313
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1290 Issued in CO
Practice address
950 Wadsworth Blvd Ste 303
Lakewood, CO 80214-4542
Phone
(303) 331-8258
Fax
(303) 232-9442
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1290 CO
Mental Health Counselor 101YM0800X 1290 CO Primary

Addresses

Primary practice location

950 Wadsworth Blvd Ste 303
Lakewood, CO 80214-4542

Mailing address

950 Wadsworth Blvd Ste 303
Lakewood, CO 80214-4542
Phone (303) 331-8258

Other identifiers 2

IdentifierTypeStateIssuer
1290OtherCODEPARTMENT OF REGULATORY AGENCIES
LPC.0001290OtherCOSTATE LICENSING BOARD

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
1290COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Center for Neurological Rehabilitation Inc Counselor Past Accepting new patients
Colorado Center for Neurological Rehabilitation Past Accepting new patients

Organizations & group practices 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1902979313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WADSWORTH BLVD STE 303",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802144542",
            "telephone_number": "303-331-8258",
            "fax_number": "303-232-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WADSWORTH BLVD STE 303",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802144542",
            "telephone_number": "303-331-8258",
            "fax_number": "303-232-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETZ SEYBOLD",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "1290",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "1290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF REGULATORY AGENCIES",
            "identifier": "1290",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING BOARD",
            "identifier": "LPC.0001290",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.