Carol E. Davis-Serpas, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2100 Manchester Rd
Suite 1510
Wheaton, IL 60187-4579

Phone

(630) 653-1717

Fax

(630) 653-9691

NPI assigned

Oct 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dr Nancy M Rivas PC Flourishing Lives Counseling CenterGroup PAC ID 2961937040, 5 clinicians

Fox Valley Institute for Growth and Wellness IncGroup PAC ID 0244285617, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Nancy M Rivas PC Flourishing Lives Counseling Center

  dba Flourishing Lives Counseling Center

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1831521145
  Medicare reassignment Care Compare group NPD
• Fox Valley Institute for Growth and Wellness Inc

  • Counselor
  • Naperville, IL
  • NPI 1174637334
  Medicare reassignment Care Compare group NPD
• Meier Clinics of Illinois, P.C.

  dba Meier Clinics

  • Clinical Psychologist
  • Bannockburn, IL
  • NPI 1801842885
  Medicare reassignment NPD
• Meier Clinics of Illinois, P.C.

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1134678188
  NPD
• Meier Clinics of Illinois, P.C.

  dba Meier Clinics

  • Clinical Psychologist
  • Wheaton, IL
  • NPI 1770523847

  Professional

  NPD
• Revelations RX PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Naperville, IL
  • NPI 1265124846
  NPD

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588745145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD",
            "address_2": "SUITE 1510",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874579",
            "telephone_number": "630-653-1717",
            "fax_number": "630-653-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD",
            "address_2": "SUITE 1510",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874579",
            "telephone_number": "630-653-1717",
            "fax_number": "630-653-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-SERPAS",
        "first_name": "CAROL",
        "middle_name": "E.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Nicole Dattalo, MD, MPH
• Ashley Daukus
• David T. Nguyen DDS,PC
• Brian David
• Adriana Davila V., M.A., ALMFT
• Andria M Davis
• Christine Davis, LCPC
• Edward Britt Davis, PSY.D.
• Margaret Therese Davis
• Mark S. Davis, DDS

• Professional Counselor in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.