Active NPI
Tamara Michelle Segura, MA, LCDC, LPC
- Professional Counselor
- Georgetown, TX
National Provider Identifier
1649041492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 87998
- Practice address
- 322 Sycamore St
Georgetown, TX 78633-1819 - Phone
- (129) 887-1495
- NPI assigned
- Jan 10, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15976 | TX | |
| Professional Counselor | 101YP2500X | 87998 | TX | Primary |
Addresses
Primary practice location
322 Sycamore St
Georgetown, TX 78633-1819
Mailing address
322 Sycamore St
Georgetown, TX 78633-1819
Phone (210) 854-3466
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87998 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1649041492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 SYCAMORE ST",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786331819",
"telephone_number": "210-854-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 SYCAMORE ST",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786331819",
"telephone_number": "129-887-1495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGURA",
"first_name": "TAMARA",
"middle_name": "MICHELLE",
"credential": "MA, LCDC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-10",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "15976",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "87998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.