Individual provider Active NPI

Sandra Serrano, LPCMH

  • Professional Counselor
  • Newark, DE
National Provider Identifier
1093300527
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC0011064 Issued in DE
Practice address
425 Stafford Ave
Newark, DE 19711-5575
Phone
(302) 703-7779
Fax
(302) 467-2920
NPI assigned
Mar 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC0011064 DE Primary

Addresses

Primary practice location

425 Stafford Ave
Newark, DE 19711-5575

Mailing address

1803B Peach St
Upper Chichester, PA 19061-2746
Phone (267) 688-0182

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address s.serrano@lifefullylived.hush.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251007004130 FL Practitioner - Mental Health Counselor 1759888654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways Counseling Center FL, LLCGroup PAC ID 5092116335, 9 clinicians

Practice addresses (Care Compare)

3261 Commercial Way
Spring Hill, FL 34606-2694
Phone (352) 686-3188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC0011064DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Counseling Center FL, LLC CurrentSince Aug 22, 2025 Accepting new patients
Sunflower Radiance Counseling LLC Past Accepting new patients
Life Fully Lived, LLC PastSince Mar 16, 2021 Accepting new patients

Locations

3261 Commercial Way
Spring Hill, FL 34606
Phone (352) 686-3188

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614988800000",
    "number": "1093300527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803B PEACH ST",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190612746",
            "telephone_number": "267-688-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 STAFFORD AVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115575",
            "telephone_number": "302-703-7779",
            "fax_number": "302-467-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "SANDRA",
        "credential": "LPCMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-06",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC0011064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "s.serrano@lifefullylived.hush.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "425 Stafford Ave",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197115575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.