Active NPI
Joy E Serednesky, LPCC-S
- Professional Counselor
- Poland, OH
National Provider Identifier
1073838223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0500106
- Practice address
- 81 W McKinley Way Unit 5
Poland, OH 44514-3909 - Phone
- (330) 754-3563
- Fax
- (330) 625-5097
- NPI assigned
- Mar 31, 2010
- Last updated
- Mar 2, 2021
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.0500106 | OH | |
| Professional Counselor | 101YP2500X | E.0500106 | OH | Primary |
Addresses
Primary practice location
81 W McKinley Way Unit 5
Poland, OH 44514-3909
Mailing address
81 W McKinley Way Unit 5
Poland, OH 44514-3909
Phone (330) 754-3563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0298983 | Medicaid | OH |
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 |
|---|---|---|---|
| C.0500106 | OH | MD | Professional Counselor |
| E.0500106 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1073838223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 W MCKINLEY WAY UNIT 5",
"city": "POLAND",
"state": "OH",
"postal_code": "445143909",
"telephone_number": "330-754-3563",
"fax_number": "330-625-5097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 W MCKINLEY WAY UNIT 5",
"city": "POLAND",
"state": "OH",
"postal_code": "445143909",
"telephone_number": "330-754-3563",
"fax_number": "330-625-5097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEREDNESKY",
"first_name": "JOY",
"middle_name": "E",
"credential": "LPCC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-31",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.0500106",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0500106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0298983",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poland, OH
- Kimberly Sue Schuler
- John D. Scrocco, M.D.
- Emily Seech, FNP
- Seeley Medical Oxygen Co of Andover (Seeley Medical Pharmacy)
- Seeley Medical Oxygen Co of Andover (Seeley Medical)
- Marcella Serich, L.P.N.
- Nicole Lynn Sesser, AGACNP-BC
- Salman T Shafi, MD
- Michael Lee Sharpe
- SHC Youngstown Ohio Laboratory Services Company LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.