Individual provider Active NPI

Cristina M Serrano, LMHC

  • Counselor
  • Tamarac, FL
National Provider Identifier
1649622168
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
7491 W Oakland Park Blvd Ste 308
Tamarac, FL 33319-4966
Phone
(954) 746-5667
NPI assigned
Jul 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

7491 W Oakland Park Blvd Ste 308
Tamarac, FL 33319-4966

Mailing address

7491 W Oakland Park Blvd Ste 308
Tamarac, FL 33319-4966

Other practice location 1

8180 NW 36TH St Unit 404
Doral, FL 33166
Phone (866) 305-7365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241111000019 FL Practitioner - Mental Health Counselor 1557895893 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sos Counseling Center CurrentSince Oct 6, 2024 Accepting new patients

Locations

7737 N University Dr
Ste 202
Tamarac, FL 33321
Phone (954) 323-4827

Organizations & group practices 1

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": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1649622168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7491 W OAKLAND PARK BLVD STE 308",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7491 W OAKLAND PARK BLVD STE 308",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194966",
            "telephone_number": "954-746-5667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8180 NW 36TH ST UNIT 404",
            "address_purpose": "LOCATION",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33166",
            "country_code": "US",
            "telephone_number": "866-305-7365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "CRISTINA",
        "middle_name": "M",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.