Individual provider Active NPI

Genesis Marie Ramos Segarra, LP

  • Counseling Psychologist
  • Ponce, PR
National Provider Identifier
1104665637
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
7846 Issued in PR
Practice address
Ave. Emilio Fagot #3022-B
Villa Esperanza
Ponce, PR 00730-4021
Phone
(787) 217-6167
NPI assigned
May 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 7846 PR Primary

Addresses

Primary practice location

Ave. Emilio Fagot #3022-B
Villa Esperanza
Ponce, PR 00730-4021

Mailing address

Calle San Ignacio #502
Urb. Santa Rita I
Coto Laurel, PR 00780-2277
Phone (787) 342-8162

Other practice location 1

64 Calle Munoz Rivera
Juana Diaz, PR 00795-1607
Phone (787) 217-6167

Other practice location 2

2984 Ave Emilio Fagot
Ponce, PR 00716-3615
Phone (787) 546-5315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709004604 PR Practitioner - Psychologist Billing Independently 1850836321 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7846PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. Current Accepting new patients
Inspira Behavioral Care Corp CurrentSince Apr 17, 2025 Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Apr 17, 2025 Accepting new patients
Clinica Psicoterapeutica Bienestar LLC PastSince Aug 11, 2024 Accepting new patients

Organizations & group practices 4

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": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1104665637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE SAN IGNACIO #502",
            "address_2": "URB. SANTA RITA I",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802277",
            "telephone_number": "787-342-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. EMILIO FAGOT #3022-B",
            "address_2": "VILLA ESPERANZA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304021",
            "telephone_number": "787-217-6167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 Calle Munoz Rivera",
            "address_purpose": "LOCATION",
            "city": "Juana Diaz",
            "state": "PR",
            "postal_code": "007951607",
            "country_code": "US",
            "telephone_number": "787-217-6167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2984 Ave Emilio Fagot",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007163615",
            "country_code": "US",
            "telephone_number": "787-546-5315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS SEGARRA",
        "first_name": "GENESIS",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "7846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.