Individual provider Active NPI

Wynante Authrine Sewell, LPC, LMFT

  • Professional Counselor
  • Trenton, NJ
National Provider Identifier
1093915399
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00350800 Issued in NJ
Practice address
946 Edgewood Ave
Trenton, NJ 08618-5304
Phone
(609) 393-1626
Fax
(609) 393-3113
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 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 37PC00350800 NJ Primary

Addresses

Primary practice location

946 Edgewood Ave
Trenton, NJ 08618-5304

Mailing address

1492 Ocean Ave
Apartment No. C6
Sea Bright, NJ 07760-2267
Phone (717) 679-7142

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

LicenseStateTypeSpecialty
37PC00350800NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Guidance Center Corporation Past Accepting new patients
Family Guidance Center Corporation Past Accepting new patients

Organizations & group practices 2

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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1093915399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 OCEAN AVE",
            "address_2": "APARTMENT NO. C6",
            "city": "SEA BRIGHT",
            "state": "NJ",
            "postal_code": "077602267",
            "telephone_number": "717-679-7142",
            "fax_number": "732-383-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 EDGEWOOD AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086185304",
            "telephone_number": "609-393-1626",
            "fax_number": "609-393-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "WYNANTE",
        "middle_name": "AUTHRINE",
        "name_prefix": "Ms.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00350800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.