Individual provider Active NPI

Elizabeth Cheyenne Seguinot, M.S., MHC

  • Mental Health Counselor
  • Albany, NY
National Provider Identifier
1043632144
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P87339 Issued in NY
Practice address
102 Hackett Blvd.
Child Guidance Center
Albany, NY 12209
Phone
(518) 431-1650
NPI assigned
Jan 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P87339 NY Primary

Addresses

Primary practice location

102 Hackett Blvd.
Child Guidance Center
Albany, NY 12209

Mailing address

60 Academy Rd
Albany, NY 12214-8037
Phone (518) 431-1658

Other identifiers 1

IdentifierTypeStateIssuer
555793MedicaidNY

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
P87339NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1043632144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ACADEMY RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122148037",
            "telephone_number": "518-431-1658",
            "fax_number": "518-447-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HACKETT BLVD.",
            "address_2": "CHILD GUIDANCE CENTER",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12209",
            "telephone_number": "518-431-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGUINOT",
        "first_name": "ELIZABETH",
        "middle_name": "CHEYENNE",
        "name_prefix": "Ms.",
        "credential": "M.S., MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P87339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "555793",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.