Mary Seabloom, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP3636 Issued in MN

Practice address

306 W Superior St Ste 1000
Duluth, MN 55802-1818

Phone

(218) 481-7660

Fax

(218) 216-1452

NPI assigned

Oct 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Insight Counseling Duluth, LLC

  dba Insight Counseling Duluth

  • Adult Mental Health Clinic/Center
  • Duluth, MN
  • NPI 1295265783
  Medicare reassignment NPD

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

{
    "created_epoch": "1729900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729900800000",
    "number": "1912729427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W SUPERIOR ST STE 1000",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021818",
            "telephone_number": "218-481-7660",
            "fax_number": "218-216-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W SUPERIOR ST STE 1000",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021818",
            "telephone_number": "218-481-7660",
            "fax_number": "218-216-1452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 W 82nd St # 770",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554311419",
            "country_code": "US",
            "telephone_number": "218-481-7660",
            "fax_number": "218-216-1452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEABLOOM",
        "first_name": "MARY",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-26",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lea Scott, OTR
• Jessica Scott, DNP, FNP-BC
• Judy Scott, RD, LD
• Kristina L Scott, LPCC
• Mark Francis Scott II, M.D.
• Nicole Susanne Seacotte, MD
• Maxine Camille Seales Kasangana, M.D.
• Dolph Benjamin Sears Jr., LICSW
• James Albert Sebastian, MD
• Eric James Seda

• Clinical Psychologist in Duluth, MN
• Providers in Duluth, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.