Individual provider Active NPI

Serena Boldiszar, MA, LPC, CAADC, NCC

  • Counselor
  • Center Line, MI
National Provider Identifier
1487079893
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401015238 Issued in MI
Practice address
6900 E 10 Mile Rd
Center Line, MI 48015-1168
Phone
(586) 501-3070
NPI assigned
Feb 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401015238 MI Primary

Addresses

Primary practice location

6900 E 10 Mile Rd
Center Line, MI 48015-1168

Mailing address

6900 E 10 Mile Rd
Center Line, MI 48015-1168
Phone (586) 501-3070

Other practice location 1

2265 Livernois Rd Ste 260A
Troy, MI 48083-1633
Phone (248) 677-1594

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcerecords.essmichigan@direct.mihin.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240227002637 MI Practitioner - Mental Health Counselor 2163867326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Oakland Univ, William Beaumont School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Easterseals Morc Health Care, IncGroup PAC ID 9830141670, 129 clinicians

Practice addresses (Care Compare)

6900 E 10 Mile Rd
Easter Seals Macomb County
Center Line, MI 48015-1168
Phone (586) 501-3070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401015238MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Macomb CurrentSince Jan 4, 2025 Accepting new patients
County of Macomb CurrentSince Jan 4, 2025 Accepting new patients
Grounded Growth Counseling PLLC Counselor CurrentSince Jan 4, 2026 Accepting new patients
Easterseals Morc Health Care, Inc. CurrentSince Jan 30, 2024 Accepting new patients

Locations

2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400

6900 E 10 Mile Rd
Center Line, MI 48015
Phone (586) 501-3070

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

1685 Baldwin Ave
Pontiac, MI 48340
Phone (248) 706-3450

22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

Organizations & group practices 4

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": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1487079893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 E 10 MILE RD",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151168",
            "telephone_number": "586-501-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 E 10 MILE RD",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151168",
            "telephone_number": "586-501-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2265 Livernois Rd Ste 260A",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480831633",
            "country_code": "US",
            "telephone_number": "248-677-1594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLDISZAR",
        "first_name": "SERENA",
        "credential": "MA, LPC, CAADC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401015238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcerecords.essmichigan@direct.mihin.net",
            "affiliation": "N",
            "address_1": "1685 Baldwin Ave",
            "city": "Pontiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483401115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Center Line, MI

Sources for this page

Verify at the official NPI Registry.