Individual provider Active NPI

Serena Marie Yeager, MA, LMHC

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1700523396
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21284 Issued in FL
Practice address
315 N Wymore Rd
Winter Park, FL 32789-2822
Phone
(727) 495-6609
NPI assigned
May 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH21284 FL Primary

Addresses

Primary practice location

315 N Wymore Rd
Winter Park, FL 32789-2822

Mailing address

315 N Wymore Rd
Winter Park, FL 32789-2822
Phone (727) 495-6609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 8, 2024 through May 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH21284FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serena Yeager Counseling and Consulting LLC Mental Health Current Accepting new patients

Locations

315 N Wymore Rd
Winter Park, FL 32789
Phone (407) 490-3082

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": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1700523396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N WYMORE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892822",
            "telephone_number": "727-495-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N WYMORE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892822",
            "telephone_number": "727-495-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "SERENA",
        "middle_name": "MARIE",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2023-12-11",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.