Serena P Bermudez, M.H.P.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

RC00052961 Issued in WA

Practice address

2801 Lombard Ave
Everett, WA 98201-3619

Phone

(425) 212-3993

Fax

(425) 259-3073

NPI assigned

Dec 29, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1710217559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 LOMBARD AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013619",
            "telephone_number": "425-212-3993",
            "fax_number": "425-259-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LOMBARD AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013619",
            "telephone_number": "425-212-3993",
            "fax_number": "425-259-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "SERENA",
        "middle_name": "P",
        "credential": "M.H.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00052961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Lynn Berglind
• Catherine Irene Berglund, R.N.
• Ashley Ann Bergner
• Judith Anna Bergsagel, CCC SLP
• Kylee Berlin, B.S.
• Susan Renee Bernard, M.A.
• Eileen F Bernat, PH.D.
• Holly Anne Bernstein
• Ayanna Bernstine
• Stephen E. Berry, PT

• Mental Health Counselor in Everett, WA
• Providers in Everett, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.