Individual provider Active NPI

Jacqueline Marie Segue-Wilkins, L.C.P.C., N.C.C

  • Pastoral Counselor
  • Columbia, MD
National Provider Identifier
1700939154
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Practice address
5401 Twin Knolls Rd
Suite 9
Columbia, MD 21045-3257
Phone
(410) 884-2848
Fax
(410) 884-2849
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X Primary

Addresses

Primary practice location

5401 Twin Knolls Rd
Suite 9
Columbia, MD 21045-3257

Mailing address

5401 Twin Knolls Rd
Suite 9
Columbia, MD 21045-3257
Phone (410) 884-2848

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

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy 4 the Spirit, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1700939154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 TWIN KNOLLS RD",
            "address_2": "SUITE 9",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453257",
            "telephone_number": "410-884-2848",
            "fax_number": "410-884-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 TWIN KNOLLS RD",
            "address_2": "SUITE 9",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453257",
            "telephone_number": "410-884-2848",
            "fax_number": "410-884-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGUE-WILKINS",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "L.C.P.C., N.C.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.