Individual provider Active NPI

Kerrianne Simone Maria Sejour

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1174170534
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
120 W 31St St FL 3
New York, NY 10001-3407
Phone
(917) 991-8417
NPI assigned
Aug 21, 2019
Last updated
Aug 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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 Primary

Addresses

Primary practice location

120 W 31St St FL 3
New York, NY 10001-3407

Mailing address

14375 230TH PL
Laurelton, NY 11413-3640

Other practice location 1

252 Java St
Brooklyn, NY 11222-5424
Phone (646) 791-7850

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address k.sejour@kiptherapy.com
Direct Messaging Address kerrianne@therapybrooklyn.com

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

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1174170534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14375 230TH PL",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114133640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 31ST ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013407",
            "telephone_number": "917-991-8417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 Java St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112225424",
            "country_code": "US",
            "telephone_number": "646-791-7850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEJOUR",
        "first_name": "KERRIANNE",
        "middle_name": "SIMONE MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "k.sejour@kiptherapy.com",
            "affiliation": "N",
            "address_1": "120 W 31st St Fl 3",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100013407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kerrianne@therapybrooklyn.com",
            "affiliation": "N",
            "address_1": "252 Java St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112225424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.