Individual provider Active NPI

James O. Seidel II, L.P.C.

  • Professional Counselor
  • Freeland, MI
National Provider Identifier
1932299849
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401007212 Issued in MI
Practice address
4599 E Tittabawassee Rd
Freeland, MI 48623-9102
Phone
(989) 621-5161
NPI assigned
Oct 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401007212 MI Primary

Addresses

Primary practice location

4599 E Tittabawassee Rd
Freeland, MI 48623-9102

Mailing address

4599 E Tittabawassee Rd
Freeland, MI 48623-9102
Phone (989) 621-5161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240109003214 MI Practitioner - Mental Health Counselor 0345691838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Mental Health for Central MichiganGroup PAC ID 4688660533, 44 clinicians

Practice addresses (Care Compare)

218 Fast Ice Dr
Midland, MI 48642-6167
Phone (989) 631-2320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health for Central Michigan CurrentSince Jan 1, 2024 Accepting new patients

Locations

655 E Cedar Ave
Gladwin, MI 48624
Phone (989) 426-9295

218 Fast Ice Dr
Midland, MI 48642
Phone (989) 631-2320

301 S Crapo St
Ste 1
Mount Pleasant, MI 48858

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932299849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4599 E TITTABAWASSEE RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486239102",
            "telephone_number": "989-621-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4599 E TITTABAWASSEE RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486239102",
            "telephone_number": "989-621-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDEL",
        "first_name": "JAMES",
        "middle_name": "O.",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeland, MI

Sources for this page

Verify at the official NPI Registry.