Individual provider Active NPI

Michelle Silva Segura, LMFT, LPC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1811280811
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64585 Issued in TX
Practice address
2525 Wallingwood Dr
BLDG 1, Suite 250
Austin, TX 78746-6900
Phone
(512) 636-5881
NPI assigned
May 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 64585 TX Primary
Marriage & Family Therapist 106H00000X 201216 TX

Addresses

Primary practice location

2525 Wallingwood Dr
BLDG 1, Suite 250
Austin, TX 78746-6900

Mailing address

2808 Mecca Rd
Austin, TX 78733-1033
Phone (512) 636-5881

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
64585TXMDProfessional Counselor
201216TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Tree Counseling Marriage & Family Therapist 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": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1811280811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 MECCA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787331033",
            "telephone_number": "512-636-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD DR",
            "address_2": "BLDG 1, SUITE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466900",
            "telephone_number": "512-636-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGURA",
        "first_name": "MICHELLE",
        "middle_name": "SILVA",
        "credential": "LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64585",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.