Cotorey James Seals

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178.018822 Issued in IL

Practice address

3511 W Fillmore St
Chicago, IL 60624-4312

Phone

(239) 810-2872

NPI assigned

Mar 17, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Cotorey James Seals Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Optimum Joy, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1053825380
  NPD

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1992407712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 W OHIO ST STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425874",
            "telephone_number": "312-772-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 W FILLMORE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606244312",
            "telephone_number": "239-810-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALS",
        "first_name": "COTOREY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.018822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COTOREY",
            "last_name": "SEALS",
            "middle_name": "JAMES",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Edward SE, PA-S
• David Edward Seabaugh, LCSW
• Madison Seabrook, MED
• Scott Mark Seaburg, O.D.
• Brayden Seal, MD
• Dionnea Seals, LCPC
• Fakih S Seals, APN-CRNA
• Gloria Seals
• Judy Gainey Seals, N.P.
• Porcia Seals

• Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.