Individual provider Active NPI

Serena Appel, LPC, AT-R

  • Professional Counselor
  • Florence, OR
National Provider Identifier
1275844185
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C6068 Issued in OR
Practice address
148 Maple St Ste B
Florence, OR 97439-9656
Phone
(541) 725-2614
Fax
(541) 255-2927
NPI assigned
Jun 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C6068 OR Primary

Addresses

Primary practice location

148 Maple St Ste B
Florence, OR 97439-9656

Mailing address

198 Huckleberry LN
Florence, OR 97439-8779
Phone (503) 839-6224

Other identifiers 1

IdentifierTypeStateIssuer
500723258MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240605000764 OR Practitioner - Mental Health Counselor 7517409667 Practice locations: Florence, OR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

148 Maple St
Suite B
Florence, OR 97439-9656
Phone (541) 725-2614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicops, LLC Mental Health PastSince Oct 1, 2022 Accepting new patients
Clinicops LLC PastSince May 25, 2025 Accepting new patients

Organizations & group practices 2

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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1275844185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 HUCKLEBERRY LN",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974398779",
            "telephone_number": "503-839-6224",
            "fax_number": "541-255-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 MAPLE ST STE B",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399656",
            "telephone_number": "541-725-2614",
            "fax_number": "541-255-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPEL",
        "first_name": "SERENA",
        "name_prefix": "Ms.",
        "credential": "LPC, AT-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500723258",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, OR

Sources for this page

Verify at the official NPI Registry.