Individual provider Active NPI

Malaika M Boyer-Seme, MS, LPCA

  • Counselor
  • Shelton, CT
National Provider Identifier
1225852379
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4652 Issued in CT
Practice address
1 Enterprise Dr Ste 415
Shelton, CT 06484-4631
Phone
(203) 434-6522
NPI assigned
Nov 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X
Counselor 101Y00000X 4652 CT Primary

Addresses

Primary practice location

1 Enterprise Dr Ste 415
Shelton, CT 06484-4631

Mailing address

50 Hales CT
Westport, CT 06880-6130
Phone (203) 434-6522

Other practice location 1

50 Hales Ct
Westport, CT 06880-6130
Phone (203) 434-6522

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
4652CTMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1225852379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HALES CT",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068806130",
            "telephone_number": "203-434-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ENTERPRISE DR STE 415",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844631",
            "telephone_number": "203-434-6522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Hales Ct",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "068806130",
            "country_code": "US",
            "telephone_number": "203-434-6522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYER-SEME",
        "first_name": "MALAIKA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MS, LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "4652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.