Active NPI
Amy Serafin, MA, LPC
- Mental Health Counselor
- Pflugerville, TX
National Provider Identifier
1356095905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 78788
- Practice address
- 1508 Blue Willow CT
Pflugerville, TX 78660-2264 - Phone
- (415) 971-4128
- NPI assigned
- Feb 11, 2022
- 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 | 78788 | TX | Primary |
Addresses
Primary practice location
1508 Blue Willow CT
Pflugerville, TX 78660-2264
Mailing address
2525 Wallingwood Dr Ste 208
Austin, TX 78746-6937
Phone (512) 803-4125
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
| License | State | Type | Specialty |
|---|---|---|---|
| 78788 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1356095905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 WALLINGWOOD DR STE 208",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466937",
"telephone_number": "512-803-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 BLUE WILLOW CT",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786602264",
"telephone_number": "415-971-4128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERAFIN",
"first_name": "AMY",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "78788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pflugerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.