Active NPI
Ashley Ann Seedorf, LPCC
- Mental Health Counselor
- Deer River, MN
National Provider Identifier
1992251235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC01250
- Practice address
- 313 Main Avenue
Deer River, MN 56636 - Phone
- (218) 289-2590
- Fax
- (218) 246-9849
- NPI assigned
- Aug 28, 2016
- Last updated
- Aug 28, 2016
- 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 | CC01250 | MN | Primary |
Addresses
Primary practice location
313 Main Avenue
Deer River, MN 56636
Mailing address
313 Main Avenue
Deer River, MN 56636
Phone (218) 289-2590
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 |
|---|---|---|---|
| CC01250 | MN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472342400000",
"number": "1992251235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 MAIN AVENUE",
"city": "DEER RIVER",
"state": "MN",
"postal_code": "56636",
"telephone_number": "218-289-2590",
"fax_number": "218-246-9849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 MAIN AVENUE",
"city": "DEER RIVER",
"state": "MN",
"postal_code": "56636",
"telephone_number": "218-289-2590",
"fax_number": "218-246-9849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEEDORF",
"first_name": "ASHLEY",
"middle_name": "ANN",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2016-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "CC01250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.