Coral Serrano Bennitt, MS, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.013476 Issued in IL

Practice address

3111 W Armitage Ave
Chicago, IL 60647-3818

Phone

(872) 588-1071

NPI assigned

Mar 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Golden Mean Therapy PLLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1598588774
  NPD Authorized official
• Balanced Life Counseling

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1427414382
  NPD (past)

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1154908168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 W 15TH ST UNIT 312",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082581",
            "telephone_number": "203-641-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W ARMITAGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473818",
            "telephone_number": "872-588-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO BENNITT",
        "first_name": "CORAL",
        "credential": "MS, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.013476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Serna
• Monica Serna, MA
• Lucas Serra, MD
• Samantha Serra
• Jaqueline Serrano Aguilar
• Andres Serrano, M.D.
• Andres Serrano, LSW
• Angela Serrano
• Erin Serrano
• Mario Serrano, D.D.S.

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.