Individual provider Active NPI

Whitney Mae Serrecchia, MA, LPC

  • Professional Counselor
  • West Chester, OH
National Provider Identifier
1225547334
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2204737 Issued in OH
Practice address
8809 Cincinnati Dayton Rd
West Chester, OH 45069-3134
Phone
(513) 360-8205
NPI assigned
Sep 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X C.2204737 OH Primary
Social Worker 104100000X C.2203903-TRNE OH
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

8809 Cincinnati Dayton Rd
West Chester, OH 45069-3134

Mailing address

8809 Cincinnati Dayton Rd
West Chester, OH 45069-3134
Phone (513) 360-8205

Other practice location 1

4629 Aicholtz Road
Cincinnati, OH 45244
Phone (513) 752-1555

Other practice location 2

551 Cincinnati Batavia Pike
Cincinnati, OH 45244-1518
Phone (513) 732-8800

Other identifiers 1

IdentifierTypeStateIssuer
0479296MedicaidOH

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C.2204737OHMDProfessional Counselor
C.2203903-TRNEOHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Counseling LLC Mental Health CurrentSince Jun 23, 2024 Accepting new patients

Locations

8809 Cincinnati Dayton Rd
West Chester, OH 45069
Phone (513) 360-8205

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.

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1225547334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8809 CINCINNATI DAYTON RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693134",
            "telephone_number": "513-360-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8809 CINCINNATI DAYTON RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693134",
            "telephone_number": "513-360-8205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4629 Aicholtz Road",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45244",
            "country_code": "US",
            "telephone_number": "513-752-1555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 Cincinnati Batavia Pike",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452441518",
            "country_code": "US",
            "telephone_number": "513-732-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRECCHIA",
        "first_name": "WHITNEY",
        "middle_name": "MAE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2204737",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "C.2203903-TRNE",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0479296",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.