Active NPI
Colette Segalla, PH.D.
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1265808885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A10651
- Practice address
- 5 W Hargett St
Suite 704
Raleigh, NC 27601-1357 - Phone
- (919) 971-2603
- NPI assigned
- Aug 18, 2015
- Last updated
- Sep 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A10651 | NC | Primary |
Addresses
Primary practice location
5 W Hargett St
Suite 704
Raleigh, NC 27601-1357
Mailing address
5 W Hargett St
Room 704
Raleigh, NC 27601-1357
Phone (919) 344-0590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 21, 2024 through Oct 21, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A10651 | NC | MD | Professional Counselor |
| 10651 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475193600000",
"number": "1265808885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 W HARGETT ST",
"address_2": "ROOM 704",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276011357",
"telephone_number": "919-344-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 W HARGETT ST",
"address_2": "SUITE 704",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276011357",
"telephone_number": "919-971-2603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGALLA",
"first_name": "COLETTE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2016-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A10651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.