Active NPI
Jonathan Pedro Serna, MA, LPC
- Professional Counselor
- Laredo, TX
National Provider Identifier
1013669241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 6510 Polaris Dr
Laredo, TX 78041-2053 - Phone
- (956) 707-3076
- NPI assigned
- Jan 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
6510 Polaris Dr
Laredo, TX 78041-2053
Mailing address
3412 Cuatro Vientos Dr
Laredo, TX 78046-6978
Phone (956) 413-1150
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courageous Counseling Center, PLLC | Current | Accepting new patients |
Locations
6510 Polaris Dr
Ste 2
Laredo, TX 78041
Phone (956) 284-0780
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.
-
- Community/Behavioral Health Agency
- Laredo, TX
- NPI 1093467227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1013669241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3412 CUATRO VIENTOS DR",
"city": "LAREDO",
"state": "TX",
"postal_code": "780466978",
"telephone_number": "956-413-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6510 POLARIS DR",
"city": "LAREDO",
"state": "TX",
"postal_code": "780412053",
"telephone_number": "956-707-3076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERNA",
"first_name": "JONATHAN",
"middle_name": "PEDRO",
"name_prefix": "Mr.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-19",
"last_updated": "2022-01-19",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.