Chanel Alecia Serano, TRAINEE

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

12730 Heacock St
Moreno Valley, CA 92553-3040

Phone

(951) 488-9084

Fax

(951) 485-8266

NPI assigned

Apr 11, 2008

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

Practice roles

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.

• Humanistic Counseling Center

  • Community/Behavioral Health Agency
  • Moreno Valley, CA
  • NPI 1619165271
  NPD (past)

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1174796957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1167",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925561167",
            "telephone_number": "951-488-9084",
            "fax_number": "951-485-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12730 HEACOCK ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533040",
            "telephone_number": "951-488-9084",
            "fax_number": "951-485-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERANO",
        "first_name": "CHANEL",
        "middle_name": "ALECIA",
        "name_prefix": "Ms.",
        "credential": "TRAINEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Sellers
• Senior Hospitality Corporation
• Senior Hospitality Operating Company, LLC
• Jenna Senstock, R.D.
• Avo Gregory Serafino, PA
• Steve Serrao, M.D.
• Naqiyah Shabbir
• Ami Shah, PHARMD
• Girish R Shah
• Mukesh M Shah, PHARMACIST

• Marriage & Family Therapist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.