Individual provider Active NPI

Nichole Seguin, LMHC

  • Mental Health Counselor
  • Malta, NY
National Provider Identifier
1881131050
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010090-01 Issued in NY
Practice address
2452 State Route 9 Ste 206
Malta, NY 12020-4448
Phone
(518) 242-6980
NPI assigned
Jan 26, 2017
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P04454 NY
Mental Health Counselor 101YM0800X 010090-01 NY Primary

Addresses

Primary practice location

2452 State Route 9 Ste 206
Malta, NY 12020-4448

Mailing address

2452 State Route 9 Ste 206
Malta, NY 12020-4448
Phone (518) 242-6980

Other practice location 1

210 Ballston Ave
Ballston Spa, NY 12020-3606
Phone (518) 242-6980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010090-01NYMDMental Health Counselor
P04454NYMDMental Health Counselor
010090NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Parsons Child and Family Center CurrentSince Mar 26, 2024 Accepting new patients
Parsons Child and Family Center PastSince Dec 21, 2021 Accepting new patients

Locations

60 Academy Rd
Albany, NY 12208
Phone (518) 653-7306

210 Ballston Ave
Ballston Spa, NY 12020
Phone (518) 242-6980

401 New Karner Rd
Colonie, NY 12205
Phone (518) 456-3614

100 Saratoga Village Blvd
Ste 26
Malta, NY 12020
Phone (518) 859-0985

2452 State Route 9
Ste 206
Malta, NY 12020
Phone (518) 292-5433

2452 Rte 9
Ste 206
Mechanicville, NY 12118

2452 Rte 9
Ste 206
Mechanicville, NY 12118
Phone (518) 292-5433

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1881131050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 STATE ROUTE 9 STE 206",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204448",
            "telephone_number": "518-242-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 STATE ROUTE 9 STE 206",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204448",
            "telephone_number": "518-242-6980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Ballston Ave",
            "address_purpose": "LOCATION",
            "city": "Ballston Spa",
            "state": "NY",
            "postal_code": "120203606",
            "country_code": "US",
            "telephone_number": "518-242-6980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGUIN",
        "first_name": "NICHOLE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P04454",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010090-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malta, NY

Sources for this page

Verify at the official NPI Registry.