Annie Elizabeth Segrest, LCSW P014257

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P014257 Issued in NC

Practice address

702 N Queen St
Durham, NC 27701-2548

Phone

(919) 414-7966

NPI assigned

Sep 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1437828555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N QUEEN ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012548",
            "telephone_number": "919-414-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N QUEEN ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012548",
            "telephone_number": "919-414-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGREST",
        "first_name": "ANNIE",
        "middle_name": "ELIZABETH",
        "credential": "LCSW P014257",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P014257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Sedlak
• Daniel T Seed, LCSW, LCAS
• Julie Marie Steele Seel, PHD
• Jordan Alexander Segal
• Maria Cristina Segovia, M.D.
• Shelley Kathleen Sehorn, OTR/L
• Rishabh Kumar Sehra, MD
• Danielle N Seibert, MA
• Kalli Seibert
• Tara Allyse Seibert

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.