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SHIRLEY DAYANA SEGARRA MHC-LP
NPI 1649979535
Counselor - Mental Health in New York, NY

Active since February 28, 2023PECOS Enrolled
299 BROADWAY STE 1115, NEW YORK, NY 10007(646) 250-8212 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shirley Dayana Segarra Mhc-lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIRLEY DAYANA SEGARRA MHC-LP (NPI 1649979535) is an individual mental health provider in New York, New York, licensed in New York (P120403) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1649979535
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHIRLEY DAYANA SEGARRACredential: MHC-LP
Location Address299 BROADWAY STE 1115New York, NY 10007-1901
Mailing Address20 River Ter Apt 19bNew York, NY 10282-1215 · (646) 250-8212
Phone(646) 250-8212
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 28, 2023
NPPES CertifiedFebruary 28, 2023
✔ NPI 1649979535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · P120403
299 BROADWAY STE 1115, New York, NY 10007
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Secondary Practice Location 1

Location 181 Worth StNew York, NY 10013-3411 · Phone (646) 250-8212

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shirley Dayana Segarra Mhc-lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072080654
PECOS Enrollment IDI20260501000310
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shirley Segarra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Interborough Developmental And Consultation Center, Inc.
7.7 mi
Case Management
1623 KINGS HWY
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 306 clinicians in this Medicare group
NPI 1588611842 (718) 375-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY FARR
Social Worker
299 BROADWAY STE 1115
NEW YORK, NY 10007
New York County (646) 250-8212
LINDA GARCIA-ROSE LCSW AND ASSOCIATES, PLLC
Social Worker (Clinical)
299 BROADWAY STE 1115
NEW YORK, NY 10007
New York County (646) 250-8212
PRERNA GUTGUTIA
Counselor (Mental Health)
299 BROADWAY STE 1115
NEW YORK, NY 10007
New York County (646) 250-8212
SACHI AKSHAYSINH GOHIL
Counselor (Mental Health)
299 BROADWAY STE 1115
NEW YORK, NY 10007
New York County (646) 250-8212
ALEXANDRA KAROL
Social Worker (Clinical)
299 BROADWAY STE 1115
NEW YORK, NY 10007
New York County (646) 250-8212
GABRIELA BAQUERO HENAO
Counselor (Mental Health)
299 BROADWAY STE 1115
NEW YORK, NY 10007
New York County (646) 250-8212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirley Segarra's NPI number?

The NPI number for Shirley Segarra is 1649979535. It was assigned to this individual provider in the NPPES registry on February 28, 2023.

Where is Shirley Segarra located?

Shirley Segarra practices at 299 Broadway Ste 1115, New York, NY 10007. The listed phone number is (646) 250-8212.

What is Shirley Segarra's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shirley Segarra enrolled in Medicare?

Yes. Shirley Segarra is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shirley Segarra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Segarra reassigns Medicare benefits to Interborough Developmental And Consultation Center, Inc. (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shirley Segarra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shirley Segarra was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.