Active NPI
Serena Romero
- Mental Health Counselor
- Philadelphia, PA
National Provider Identifier
1639557051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC008168
- Practice address
- 250 E Girard Ave
Apt 2
Philadelphia, PA 19125-3929 - Phone
- (773) 807-4365
- NPI assigned
- May 18, 2015
- Last updated
- May 18, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC008168 | PA | Primary |
| Professional Counselor | 101YP2500X | 180.009692 | IL |
Addresses
Primary practice location
250 E Girard Ave
Apt 2
Philadelphia, PA 19125-3929
Mailing address
250 E Girard Ave
Apt 2
Philadelphia, PA 19125-3929
Phone (773) 807-4365
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC008168 | PA | MD | Mental Health Counselor |
| 180.009692 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1639557051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E GIRARD AVE",
"address_2": "APT 2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253929",
"telephone_number": "773-807-4365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E GIRARD AVE",
"address_2": "APT 2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253929",
"telephone_number": "773-807-4365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO",
"first_name": "SERENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-18",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC008168",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.009692",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.