Jordan Alexander Segal

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

100 Capitola Drive
Suite 310
Durham, NC 27713-4496

Phone

(919) 474-6400

Fax

(919) 474-6401

NPI assigned

Oct 7, 2010

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Youth Villages

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1316170475
  NPD (past)
• Youth Villages

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1720453236
  NPD (past)

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1972813053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 FIRST PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276137007",
            "telephone_number": "919-827-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAPITOLA DRIVE",
            "address_2": "SUITE 310",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134496",
            "telephone_number": "919-474-6400",
            "fax_number": "919-474-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "JORDAN",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Securing Resources for Consumers, Inc.
• Janelle Seddon, PA
• Debra Sedlak
• Daniel T Seed, LCSW, LCAS
• Julie Marie Steele Seel, PHD
• Maria Cristina Segovia, M.D.
• Annie Elizabeth Segrest, LCSW P014257
• Shelley Kathleen Sehorn, OTR/L
• Rishabh Kumar Sehra, MD
• Danielle N Seibert, MA

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

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