Individual provider Active NPI

Scott W. Seguin, LCAS, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Raleigh, NC
National Provider Identifier
1447300595
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1127 Issued in NC
Practice address
1001 Navaho Dr
Suite 100
Raleigh, NC 27609-7335
Phone
(919) 856-4703
Fax
(919) 856-3795
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1127 NC Primary
Professional Counselor 101YP2500X 7156 NC

Addresses

Primary practice location

1001 Navaho Dr
Suite 100
Raleigh, NC 27609-7335

Mailing address

350 Pee Dee Ave
Suite 101
Albemarle, NC 28001-4932
Phone (704) 986-1500

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

State licenses

LicenseStateTypeSpecialty
1127NCMDMarriage & Family Therapist
7156NCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1447300595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PEE DEE AVE",
            "address_2": "SUITE 101",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280014932",
            "telephone_number": "704-986-1500",
            "fax_number": "866-404-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NAVAHO DR",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097335",
            "telephone_number": "919-856-4703",
            "fax_number": "919-856-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGUIN",
        "first_name": "SCOTT",
        "middle_name": "W.",
        "credential": "LCAS, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1127",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7156",
            "primary": false
        }
    ],
    "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 Dec 20, 2016; 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.