Active NPI
Kenneth L. Seel, CADC, LLMFT
- Addiction (Substance Use Disorder) Counselor
- Jackson, MI
National Provider Identifier
1912102526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- S0606201414
- Practice address
- 409 W Washington Ave
Jackson, MI 49201-2168 - Phone
- (925) 818-4419
- NPI assigned
- Jun 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | S0606201414 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | 4101006510 | MI |
Addresses
Primary practice location
409 W Washington Ave
Jackson, MI 49201-2168
Mailing address
409 W Washington Ave
Jackson, MI 49201-2168
Phone (925) 818-4419
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
| License | State | Type | Specialty |
|---|---|---|---|
| S0606201414 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 4101006510 | MI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1912102526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 W WASHINGTON AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012168",
"telephone_number": "925-818-4419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 W WASHINGTON AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012168",
"telephone_number": "925-818-4419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEEL",
"first_name": "KENNETH",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "CADC, LLMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-15",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "S0606201414",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4101006510",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.