Active NPI
Christi Leigh Serabian
- Mental Health Counselor
- Goodfellow, TX
National Provider Identifier
1699043125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- I.1450843
- Practice address
- 271 Ft Richardson Ave BLDG 1007
Goodfellow, TX 76908 - Phone
- (325) 654-3122
- NPI assigned
- Dec 12, 2011
- Last updated
- Jun 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | I.1450843 | OH | Primary |
Addresses
Primary practice location
271 Ft Richardson Ave BLDG 1007
Goodfellow, TX 76908
Mailing address
Ross Clinic
271 Ft Richardson Ave BLDG 1007
Goodfellow Air Force Base, TX 76908
Phone (325) 654-3122
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 |
|---|---|---|---|
| I.1450843 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1699043125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ROSS CLINIC",
"address_2": "271 FT RICHARDSON AVE BLDG 1007",
"city": "GOODFELLOW AIR FORCE BASE",
"state": "TX",
"postal_code": "76908",
"telephone_number": "325-654-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 FT RICHARDSON AVE BLDG 1007",
"city": "GOODFELLOW",
"state": "TX",
"postal_code": "76908",
"telephone_number": "325-654-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERABIAN",
"first_name": "CHRISTI",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "I.1450843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodfellow, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.