Sejla Serifovic

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9598 Issued in CA

Practice address

340 2ND St Ste 8
Los Altos, CA 94022-3651

Phone

(650) 374-7255

NPI assigned

Jun 19, 2018

Last updated

Mar 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Sejla Serifovic Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1194219543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 2ND ST STE 8",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940223651",
            "telephone_number": "650-374-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 2ND ST STE 8",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940223651",
            "telephone_number": "650-374-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERIFOVIC",
        "first_name": "SEJLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60567967",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "9598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEJLA",
            "last_name": "SERIFOVIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• L Allen Sciutto, LMFT
• Julie Chayt Scott, C.N.C.
• Elizabeth Semion, MBA, NBC-HWC
• Megan S Seo, OTR/L
• Maria Sepetka, MD
• Gina Serraiocco, MD
• Ramya Sethuram, MD
• Shadduck - Physical Therapy Works Inc (PT Works)
• Kristin Tyse Shadduck, PT
• Nidhi Malav Shah

• Professional Counselor in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.