Individual provider Active NPI

Theresa Marie Seward, MA, LPC

  • Professional Counselor
  • Surprise, AZ
National Provider Identifier
1942416847
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-10623 Issued in AZ
Practice address
12301 W Bell Rd
Suite A102
Surprise, AZ 85378-9705
Phone
(623) 330-1099
Fax
(623) 583-3888
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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 LPC-10623 AZ Primary

Addresses

Primary practice location

12301 W Bell Rd
Suite A102
Surprise, AZ 85378-9705

Mailing address

12301 W Bell Rd
Suite A102
Surprise, AZ 85378-9705
Phone (623) 330-1099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240206000129 AZ Practitioner - Mental Health Counselor 9638512809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12301 W Bell Rd
Suite A102
Surprise, AZ 85378-9707
Phone (623) 330-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Theresa Seward, PLLC CurrentSince Dec 15, 2023 Accepting new patients

Locations

12301 W Bell Rd
Ste A102
Surprise, AZ 85378
Phone (602) 614-5926

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1942416847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 W BELL RD",
            "address_2": "SUITE A102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789705",
            "telephone_number": "623-330-1099",
            "fax_number": "623-583-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 W BELL RD",
            "address_2": "SUITE A102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789705",
            "telephone_number": "623-330-1099",
            "fax_number": "623-583-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWARD",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-10623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.