Active NPI
Sarenna Liss Rosario, MA
- Mental Health Counselor
- Brockton, MA
National Provider Identifier
1225501117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12180
- Practice address
- 231 Main St
Brockton, MA 02301-4342 - Phone
- (508) 586-2660
- Fax
- (508) 427-1505
- NPI assigned
- Jan 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12180 | MA | Primary |
Addresses
Primary practice location
231 Main St
Brockton, MA 02301-4342
Mailing address
107 Brickel Rd
Stoughton, MA 02072-3462
Phone (617) 290-3102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
231 Main St
FL 3
Brockton, MA 02301-4342
Phone (508) 586-2660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12180 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brockton Neighborhood Health Center | Current | Accepting new patients | |
| Brockton Neighborhood Health Center | Current | Accepting new patients | |
| Northeast Health Services, LLC | Current | Accepting new patients | |
| Brockton Neighborhood Health Center, Inc. | Current | Accepting new patients |
Locations
63 Main St
Brockton, MA 02301
Phone (508) 559-6696
231 Main St
Fl 3
Brockton, MA 02301
Phone (508) 586-2660
30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400
Interoperability endpoints
- https://epicproxy.et1290.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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 Clinic/Center (Including Community Mental Health Center)
- Taunton, MA
- NPI 1225067481
-
- Federally Qualified Health Center (FQHC)
- Brockton, MA
- NPI 1225085319
-
- Federally Qualified Health Center (FQHC)
- Brockton, MA
- NPI 1548663875
-
- Community/Retail Pharmacy
- Brockton, MA
- NPI 1528704061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1225501117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 BRICKEL RD",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020723462",
"telephone_number": "617-290-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 MAIN ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014342",
"telephone_number": "508-586-2660",
"fax_number": "508-427-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO",
"first_name": "SARENNA",
"middle_name": "LISS",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-03",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "12180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.