Individual provider Active NPI

Victoria Serrano, L.P.C.C. L.C.A.D.C.

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1720111933
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
165648 Issued in KY
Practice address
720 Zorn Avenue
# 52
Louisville, KY 40206
Phone
(502) 810-4772
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 165648 KY Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 120007 KY

Addresses

Primary practice location

720 Zorn Avenue
# 52
Louisville, KY 40206

Mailing address

720 Zorn Avenue
# 52
Louisville, KY 40206
Phone (502) 810-4772

Other identifiers 1

IdentifierTypeStateIssuer
7100411600MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250220003266 KY Practitioner - Mental Health Counselor 5395182471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Louisville School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartwood Therapy Place LLCGroup PAC ID 1052725405, 5 clinicians

Practice addresses (Care Compare)

1941 Bishop LN
Suite 1019
Louisville, KY 40218-1928
Phone (502) 851-6384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120007KYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heartwood Therapy Place LLC CurrentSince Jun 16, 2025 Accepting new patients
Mindive Addiction (Substance Use Disorder) CurrentSince Dec 5, 2024 Accepting new patients

Locations

119 S Sherrin Ave
Ste 240
Louisville, KY 40207
Phone (502) 509-6002

1941 Bishop Ln
Ste 1019
Louisville, KY 40218
Phone (502) 369-1046

Organizations & group practices 2

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1720111933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ZORN AVENUE",
            "address_2": "# 52",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40206",
            "telephone_number": "502-810-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ZORN AVENUE",
            "address_2": "# 52",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40206",
            "telephone_number": "502-810-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "VICTORIA",
        "credential": "L.P.C.C.  L.C.A.D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "165648",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "120007",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100411600",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.