Renee Segal, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2108 Issued in MN

Practice address

9800 Shelard Pkwy # 115
Minneapolis, MN 55441-6411

Phone

(612) 875-6416

NPI assigned

Sep 30, 2010

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

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Segal Psychotherapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plymouth, MN
  • NPI 1114312048
  NPD Authorized official

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1699084103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13911 RIDGEDALE DR STE 335",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051775",
            "telephone_number": "612-875-6416",
            "fax_number": "952-546-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 SHELARD PKWY # 115",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554416411",
            "telephone_number": "612-875-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "RENEE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Mai Seekie, RN
• Roberta Ann Seelen-Wolf, R.N.
• Gboyee Quiah Seeyon, MA
• Abdulai Samuel Sefoi
• Barbara Marge Segal, MD
• Robert M Segal, MD
• Yoav Segal
• Angela Seger
• Sara Segner
• Bradley J Segura, MD

• Marriage & Family Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.

Verify at the official NPI Registry.