Individual provider Active NPI

Yarelis Serrano, LMHC

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1275163420
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17718 Issued in FL
Practice address
8763 SW 27TH LN # 101
Gainesville, FL 32608-9338
Phone
(352) 265-7810
NPI assigned
Jan 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH17718 FL Primary

Addresses

Primary practice location

8763 SW 27TH LN # 101
Gainesville, FL 32608-9338

Mailing address

8763 SW 27TH LN
Gainesville, FL 32608-9338
Phone (352) 265-7810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105003073 FL Practitioner - Mental Health Counselor 8022469865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Jan 1, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jan 1, 2024 Accepting new patients
Florida Health Professions Association, Inc. PastSince Jan 19, 2020 Accepting new patients

Locations

1699 SW 16th Ave
Bldg A
Gainesville, FL 32608
Phone (352) 265-7019

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

Organizations & group practices 3

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": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1275163420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8763 SW 27TH LN",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089338",
            "telephone_number": "352-265-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8763 SW 27TH LN # 101",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089338",
            "telephone_number": "352-265-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "YARELIS",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.