Individual provider Active NPI

Mario Alvarez Serrano, LCPC, LMHC, NCC, JD

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1730649781
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.011027 Issued in IL
Practice address
332 S Michigan Ave Ste 121
Chicago, IL 60604-4302
Phone
(312) 513-7771
NPI assigned
Mar 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 180.011027 IL
Professional Counselor 101YP2500X 180.011027 IL
Mental Health Counselor 101YM0800X 180.011027 IL Primary

Addresses

Primary practice location

332 S Michigan Ave Ste 121
Chicago, IL 60604-4302

Mailing address

1400 S Michigan Ave Apt 2407
Chicago, IL 60605-3730
Phone (312) 513-7771

Other practice location 1

180 N Michigan Ave Ste 1830
Chicago, IL 60601-7407
Phone (312) 513-7771

Other identifiers 1

IdentifierTypeStateIssuer
14426840OtherILCAQH PROVIDER ID

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
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
180.011027ILMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbowtopia Counseling, PLLC Mental Health Current Accepting new patients

Locations

332 S Michigan Ave
Ste 121
Chicago, IL 60604
Phone (312) 278-7553

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": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1730649781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S MICHIGAN AVE APT 2407",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053730",
            "telephone_number": "312-513-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 S MICHIGAN AVE STE 121",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044302",
            "telephone_number": "312-513-7771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 N Michigan Ave Ste 1830",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017407",
            "country_code": "US",
            "telephone_number": "312-513-7771",
            "fax_number": "312-263-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVAREZ SERRANO",
        "first_name": "MARIO",
        "credential": "LCPC, LMHC, NCC, JD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-24",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "180.011027",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011027",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.011027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "14426840",
            "state": "IL"
        }
    ],
    "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 Nov 17, 2022; 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.