Active NPI
Tracy Marie Serrano, LPC-MHSP
- Professional Counselor
- Knoxville, TN
National Provider Identifier
1194227843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4149
- Practice address
- 9724 Kingston Pike Ste 605
Knoxville, TN 37922-6900 - Phone
- (865) 357-4673
- NPI assigned
- Mar 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4149 | TN | Primary |
Addresses
Primary practice location
9724 Kingston Pike Ste 605
Knoxville, TN 37922-6900
Mailing address
9724 Kingston Pike Ste 605
Knoxville, TN 37922-6900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4149 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beloved Counseling Center, LLC | Current | Accepting new patients |
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.
-
- Mental Health Counselor
- Knoxville, TN
- NPI 1629883384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520380800000",
"number": "1194227843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9724 KINGSTON PIKE STE 605",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379226900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9724 KINGSTON PIKE STE 605",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379226900",
"telephone_number": "865-357-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "TRACY",
"middle_name": "MARIE",
"credential": "LPC-MHSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-07",
"last_updated": "2018-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "4149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.