Joseph Patrick Segoviano

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.015470 Issued in IL

Practice address

800 S McHenry Ave Ste F
Crystal Lake, IL 60014-7487

Phone

(224) 436-4741

NPI assigned

Dec 16, 2019

Last updated

Dec 16, 2019By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• JS Counseling Center

  • Professional Counselor
  • Barrington, IL
  • NPI 1033939590
  NPD Authorized official

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1871131284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MCHENRY AVE STE F",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147487",
            "telephone_number": "224-436-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MCHENRY AVE STE F",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147487",
            "telephone_number": "224-436-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGOVIANO",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.015470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seasons Dialysis LLC (Crystal Springs Dialysis)
• Amanda Sedlak, M.S., CCC-SLP
• Seek Counseling Services, LLC
• Seezox Chiropractic Rehabilitation (Performance Chiropractic Center)
• Jonathan Seezox, DC
• Heather Segura
• Select Physical Therapy of Illinois Limited Partnership
• Self Talk Therapy Services PC
• Ashli Self
• Krishanthi Dilrukshi Seneviratne, MD

• Mental Health Counselor in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.