Individual provider Active NPI

Kathryn Z Sejourne, LPC

  • Counselor
  • Madison, CT
National Provider Identifier
1992930853
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
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

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CBH12267KSMedicaidCT
004235918MedicaidCT

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

OrganizationSpecialtyStatusNew patients
Rise Therapy and Wellness, LLC CurrentSince Feb 1, 2021 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.

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.

Verify at the official NPI Registry.