Active NPI
Julie S Serrano, LMHC LCPC
- Counselor
- Portsmouth, NH
National Provider Identifier
1053332775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 85
- Practice address
- 118 Maplewood Ave
Portsmouth, NH 03801-3787 - Phone
- (603) 433-5525
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 85 | NH | Primary |
| Counselor | 101Y00000X | 625 | ME |
Addresses
Primary practice location
118 Maplewood Ave
Portsmouth, NH 03801-3787
Mailing address
118 Maplewood Ave
Portsmouth, NH 03801-3787
Phone (603) 433-5525
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 396079 | Other | MAGELLAN BEHAV HEALTH | |
| 047099 | Other | ME | BLUE CROSS BLUE SHIELD |
| 1404519Y0NH01 | Other | NH | BLUE CROSS BLUE SHIELD |
| 30008557 | Medicaid | NH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 625 | ME | MD | Counselor |
| 85 | NH | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053332775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 MAPLEWOOD AVE",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038013787",
"telephone_number": "603-433-5525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 MAPLEWOOD AVE",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038013787",
"telephone_number": "603-433-5525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "JULIE",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "LMHC LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NH",
"license": "85",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ME",
"license": "625",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAV HEALTH",
"identifier": "396079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "047099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1404519Y0NH01",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30008557",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.