Active NPI
Kathryn Z Sejourne, LPC
- Counselor
- Madison, CT
National Provider Identifier
1992930853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 786 Boston Post Rd
Madison, CT 06443-3036 - Phone
- (203) 668-0557
- NPI assigned
- May 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 004754 | CT | |
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
786 Boston Post Rd
Madison, CT 06443-3036
Mailing address
9 Lantern Hill LN
Guilford, CT 06437-2066
Phone (203) 453-1248
Other practice location 1
62 Grant St
New Haven, CT 06519-2514
Phone (203) 503-3350
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CBH12267KS | Medicaid | CT | |
| 004235918 | Medicaid | CT |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Therapy and Wellness, LLC | Current | Accepting new patients |
Locations
786 Boston Post Rd
Madison, CT 06443
Phone (203) 350-0700
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.
-
- Family Psychologist
- Madison, CT
- NPI 1407490154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1992930853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 LANTERN HILL LN",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372066",
"telephone_number": "203-453-1248",
"fax_number": "203-503-3352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "786 BOSTON POST RD",
"city": "MADISON",
"state": "CT",
"postal_code": "064433036",
"telephone_number": "203-668-0557"
}
],
"practiceLocations": [
{
"address_1": "62 Grant St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065192514",
"country_code": "US",
"telephone_number": "203-503-3350",
"fax_number": "203-503-3352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEJOURNE",
"first_name": "KATHRYN",
"middle_name": "Z",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-21",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "004754",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CBH12267KS",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004235918",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.