Active NPI
Serena Michelle Neslusan, MA
- Addiction (Substance Use Disorder) Counselor
- Worcester, MA
National Provider Identifier
1205099470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 585 Lincoln St
Worcester, MA 01605-1906 - Phone
- (508) 831-0045
- Fax
- (508) 753-5051
- NPI assigned
- Jul 8, 2008
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
585 Lincoln St
Worcester, MA 01605-1906
Mailing address
585 Lincoln St
Worcester, MA 01605-1906
Phone (508) 831-0045
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M18684 | Other | MA | BCBS |
| 1308785 | Medicaid | MA | |
| 1306421 | Medicaid | MA |
Other names 1
- Miss Serena Michelle Schmitt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 14, 2024 through May 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Systems, Inc | Past | 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.
-
- Community/Behavioral Health Agency
- Worcester, MA
- NPI 1346430253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1205099470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016051906",
"telephone_number": "508-831-0045",
"fax_number": "508-753-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016051906",
"telephone_number": "508-831-0045",
"fax_number": "508-753-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESLUSAN",
"first_name": "SERENA",
"middle_name": "MICHELLE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M18684",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1308785",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306421",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SERENA",
"last_name": "SCHMITT",
"middle_name": "MICHELLE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.