Individual provider Active NPI

Serena Pewitt, LPC

  • Counselor
  • Huntsville, AL
National Provider Identifier
1164817482
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3028 Issued in AL
Practice address
1101 McMurtrie Dr NW Ste C2
Huntsville, AL 35806-2470
Phone
(256) 530-0557
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 3028 AL
Counselor 101Y00000X 3028 AL Primary

Addresses

Primary practice location

1101 McMurtrie Dr NW Ste C2
Huntsville, AL 35806-2470

Mailing address

1101 McMurtrie Dr NW Ste C2
Huntsville, AL 35806-2470
Phone (256) 530-0557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20231201002370 AL Practitioner - Mental Health Counselor 7618325531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1101 McMurtrie Dr NW
Suite C2
Huntsville, AL 35806-2470
Phone (256) 530-0557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3028ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace & Empower Counseling and Consulting LLC Counselor CurrentSince Oct 5, 2024 Accepting new patients

Locations

1101 McMurtrie Dr NW
Ste C2
Huntsville, AL 35806
Phone (256) 530-0557

Organizations & group practices 1

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1164817482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MCMURTRIE DR NW STE C2",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358062470",
            "telephone_number": "256-530-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MCMURTRIE DR NW STE C2",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358062470",
            "telephone_number": "256-530-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEWITT",
        "first_name": "SERENA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3028",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "3028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.