Casa Serena, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

420024CN Issued in CA

Legal business name

CASA SERENA, INC.

Practice address

1515 Bath St
Santa Barbara, CA 93101-3024

Phone

(805) 966-1260

Fax

(805) 764-8647

NPI assigned

Jan 27, 2009

Last updated

Oct 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lisette Fraser

Title

Ceo

Phone

(805) 444-8072

Specialties & licenses 1

Addresses

Other names 1

• Casa Serena Treatment Programs for Women Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Casa Serena3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Casa Serena, Inc.

  • Adult Mental Health Clinic/Center
  • Santa Barbara, CA
  • NPI 1619659612
  NPD tax ID
• Casa Serena, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Santa Barbara, CA
  • NPI 1669009759
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marjorie Sumner Gies, M.D.

  • Psychosomatic Medicine Physician
  • Santa Barbara, CA
  • NPI 1538387329
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1083852198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 BATH ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013024",
            "telephone_number": "805-966-1260",
            "fax_number": "805-966-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BATH ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013024",
            "telephone_number": "805-966-1260",
            "fax_number": "805-764-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA SERENA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "LISETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-444-8072",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "420024CN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Serena Treatment Programs for Women",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Casa Juana Maria, Mha
• Casa Rivera Wellness, Licensed Clinical Social Worker, PC (Casa Rivera Wellness)
• Casa San Miguel, LLC (Casa St. James)
• Casa San Miguel, LLC
• Casa San Miguel, LLC (Casa Los Padres)
• Casa Serena, Inc.
• Casa Serena, Inc.
• Vicente Casares-Garcia
• Jennifer Ann Case, M.A.
• Eleanor Casey

• Substance Abuse Rehabilitation Facility in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.