Individual provider Active NPI

Joshua Serrano Otero, LPC, LCMHC-A, NCC

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1588475289
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A19454 Issued in NC
Practice address
901 Belmont Dr
Durham, NC 27703-2467
Phone
(919) 824-7907
NPI assigned
Jan 14, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1727162 NC
Mental Health Counselor 101YM0800X A19454 NC Primary

Addresses

Primary practice location

901 Belmont Dr
Durham, NC 27703-2467

Mailing address

901 Belmont Dr
Durham, NC 27703-2467
Phone (919) 824-7907

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

State licenses

LicenseStateTypeSpecialty
A19454NCMDMental Health Counselor
1727162NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1588475289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BELMONT DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032467",
            "telephone_number": "919-824-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BELMONT DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032467",
            "telephone_number": "919-824-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO OTERO",
        "first_name": "JOSHUA",
        "credential": "LPC, LCMHC-A, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "1727162",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.