Active NPI
Angela Davina Seabrooks, LCMHC
- Mental Health Counselor
- Burlington, NC
National Provider Identifier
1912539560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15520
- Practice address
- 7347 Ethans Way
Burlington, NC 27215-8080 - Phone
- (336) 399-8577
- NPI assigned
- Feb 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 15520 | NC | Primary |
Addresses
Primary practice location
7347 Ethans Way
Burlington, NC 27215-8080
Mailing address
PO Box 2522
Burlington, NC 27216-2522
Phone (336) 399-8577
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 |
|---|---|---|---|
| 15520 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1912539560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2522",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272162522",
"telephone_number": "336-399-8577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7347 ETHANS WAY",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272158080",
"telephone_number": "336-399-8577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEABROOKS",
"first_name": "ANGELA",
"middle_name": "DAVINA",
"name_prefix": "Dr.",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-11",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "15520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.