Individual provider Active NPI

Serrina Hutka, LAC

  • Counselor
  • Washington, NJ
National Provider Identifier
1417549650
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37AC00544000 Issued in NJ
Practice address
492 Route 57 W
Washington, NJ 07882-4411
Phone
(908) 689-1000
NPI assigned
Feb 9, 2021
Last updated
Feb 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37AC00544000 NJ Primary

Addresses

Primary practice location

492 Route 57 W
Washington, NJ 07882-4411

Mailing address

492 Route 57 W
Washington, NJ 07882-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250305000873 NJ Practitioner - Mental Health Counselor 6406377662 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00544000NJMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Services, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Center for Family Services, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Center for Family Services, Inc. Current Accepting new patients

Locations

584 Benson St
Camden, NJ 08103
Phone (877) 922-2377

3073 English Creek Ave
Egg Hbr Twp, NJ 08234
Phone (609) 569-0239

1 Alpha Ave
Voorhees, NJ 08043
Phone (856) 651-7553

492 State Route 57 W
Washington, NJ 07882
Phone (908) 689-1000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1417549650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 ROUTE 57 W",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078824411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 ROUTE 57 W",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078824411",
            "telephone_number": "908-689-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTKA",
        "first_name": "SERRINA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00544000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NJ

Sources for this page

Verify at the official NPI Registry.