Gina Serrao, LMHC
Individual provider Active NPI Mental Health Counselor · Milton, NY
NPI 1487022604 · NPPES record last updated Oct 24, 2023
Key facts
- NPI
- 1487022604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 009409 (NY)
- Practice address
- 61 Sands Ave Apt 1
Milton, NY 12547-5148 - Phone
- (845) 401-0965
- NPI assigned
- Sep 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009409 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Youth Services of Southern Oklahoma, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 009409 | NY | Yes |
Addresses
Primary practice location
61 Sands Ave Apt 1
Milton, NY 12547-5148
Mailing address
61 Sands Ave Apt 1
Milton, NY 12547-5148
Phone (454) 010-9658
Other providers in Milton, NY
- Pure Joy Occupational Therapy Services PLLC
- Katherine Noreen Redder
- 1Theresa Sandra Romain
- Kimberly Sakadelis
- Maria Eugenia Schiller I
- Karin Lynn Soma
- Teresa Wanamaker
All providers in Milton, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.