Individual provider Active NPI

Carmen L Fernandez-Serrano, LMHC

  • Mental Health Counselor
  • New Port Richey, FL
National Provider Identifier
1164675575
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 6350 Issued in FL
Practice address
8002 King Helie Blvd
New Port Richey, FL 34653-1435
Phone
(727) 834-3959
Fax
(727) 834-3969
NPI assigned
Oct 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 6350 FL Primary

Addresses

Primary practice location

8002 King Helie Blvd
New Port Richey, FL 34653-1435

Mailing address

PO Box 428
New Port Richey, FL 34656-0428
Phone (727) 841-4200

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

LicenseStateTypeSpecialty
MH 6350FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1164675575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346560428",
            "telephone_number": "727-841-4200",
            "fax_number": "727-841-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 KING HELIE BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346531435",
            "telephone_number": "727-834-3959",
            "fax_number": "727-834-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-SERRANO",
        "first_name": "CARMEN",
        "middle_name": "L",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 6350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.