Active NPI
Lindsey Serrano, LADC I
- Addiction (Substance Use Disorder) Counselor
- Great Barrington, MA
National Provider Identifier
1306539507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 22945
- Practice address
- 446 Monterey Rd
Great Barrington, MA 01230-1454 - Phone
- (413) 645-3717
- Fax
- (413) 645-3451
- NPI assigned
- Jun 1, 2023
- 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 | 22945 | MA | Primary |
Addresses
Primary practice location
446 Monterey Rd
Great Barrington, MA 01230-1454
Mailing address
446 Monterey Rd
Great Barrington, MA 01230-1454
Phone (413) 645-3717
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22945 | MA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1306539507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 MONTEREY RD",
"city": "GREAT BARRINGTON",
"state": "MA",
"postal_code": "012301454",
"telephone_number": "413-645-3717",
"fax_number": "413-645-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 MONTEREY RD",
"city": "GREAT BARRINGTON",
"state": "MA",
"postal_code": "012301454",
"telephone_number": "413-645-3717",
"fax_number": "413-645-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "LINDSEY",
"credential": "LADC I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-01",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "22945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Barrington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.