Individual provider Active NPI

Elise Simone Segui, PSYD, LP, LPC

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1154902740
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20043907A Issued in IN
Practice address
15827 Legend Elm
San Antonio, TX 78247-5602
Phone
(949) 212-6347
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 82844 TX
Psychologist 103T00000X 20043907A IN Primary

Addresses

Primary practice location

15827 Legend Elm
San Antonio, TX 78247-5602

Mailing address

15827 Legend Elm
San Antonio, TX 78247-5602
Phone (949) 212-6347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251029002016 TX Practitioner - Clinical Psychologist 8527573443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
82844TXMDMental Health Counselor
20043907AINMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Mental Health CurrentSince Aug 17, 2025 Accepting new patients
Family Care Center LLC, Multi-Specialty CurrentSince Aug 17, 2025 Accepting new patients

Locations

551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1154902740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15827 LEGEND ELM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782475602",
            "telephone_number": "949-212-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15827 LEGEND ELM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782475602",
            "telephone_number": "949-212-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGUI",
        "first_name": "ELISE",
        "middle_name": "SIMONE",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82844",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20043907A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.