Individual provider Active NPI

Colleen Mary Serreno, LPC, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Huntersville, NC
National Provider Identifier
1720298904
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1132 Issued in NC
Practice address
9023 Stourbridge Dr
Huntersville, NC 28078-9792
Phone
(704) 875-1264
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3977 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 1132 NC Primary

Addresses

Primary practice location

9023 Stourbridge Dr
Huntersville, NC 28078-9792

Mailing address

9023 Stourbridge Dr
Huntersville, NC 28078-9792
Phone (704) 875-1264

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

LicenseStateTypeSpecialty
1132NCMDMarriage & Family Therapist
3977NCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1720298904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9023 STOURBRIDGE DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789792",
            "telephone_number": "704-875-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9023 STOURBRIDGE DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789792",
            "telephone_number": "704-875-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRENO",
        "first_name": "COLLEEN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LPC, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "3977",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.