Individual provider Active NPI

Alexa Serao, LPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1730067232
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.021949 Issued in IL
Practice address
561 W Diversey Pkwy Ste 210a
Chicago, IL 60614-1682
Phone
(630) 336-3113
NPI assigned
Aug 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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 178.021949 IL Primary

Addresses

Primary practice location

561 W Diversey Pkwy Ste 210a
Chicago, IL 60614-1682

Mailing address

2130 N Sedgwick St Apt 1
Chicago, IL 60614-4673
Phone (630) 336-3113

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
178.021949ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lily Center Chicago PLLC CurrentSince Aug 25, 2025 Accepting new patients
Golden Vine Counseling LLC Mental Health Current Accepting new patients

Locations

561 W Diversey Pkwy
Ste 210A
Chicago, IL 60614
Phone (630) 336-3113

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": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1730067232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 N SEDGWICK ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144673",
            "telephone_number": "630-336-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 W DIVERSEY PKWY STE 210A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141682",
            "telephone_number": "630-336-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAO",
        "first_name": "ALEXA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.021949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.