Active NPI
Serena Boldiszar, MA, LPC, CAADC, NCC
- Counselor
- Center Line, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401015238
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401015238 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Macomb | Current | Accepting new patients | |
| County of Macomb | Current | Accepting new patients | |
| Grounded Growth Counseling PLLC | Counselor | Current | Accepting new patients |
| Easterseals Morc Health Care, Inc. | Current | 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.
-
- Psychiatry Physician
- Auburn Hills, MI
- NPI 1376526616
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clinton TWP, MI
- NPI 1942532197
-
- Counselor
- Troy, MI
- NPI 1891651840
-
- Public Health or Welfare Agency
- Mount Clemens, MI
- NPI 1760462253
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.