Active NPI
Faye Leone Serene, MDIV, LMHCA
- Mental Health Counselor
- Pasco, WA
National Provider Identifier
1770839672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC 60298899
- Practice address
- 9825 Sandifur Pkwy
Suite D
Pasco, WA 99301-6738 - Phone
- (509) 205-1145
- NPI assigned
- Jul 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC 60298899 | WA | Primary |
Addresses
Primary practice location
9825 Sandifur Pkwy
Suite D
Pasco, WA 99301-6738
Mailing address
9825 Sandifur Pkwy
Suite D
Pasco, WA 99301-6738
Phone (509) 205-1145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC 60298899 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1770839672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9825 SANDIFUR PKWY",
"address_2": "SUITE D",
"city": "PASCO",
"state": "WA",
"postal_code": "993016738",
"telephone_number": "509-205-1145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9825 SANDIFUR PKWY",
"address_2": "SUITE D",
"city": "PASCO",
"state": "WA",
"postal_code": "993016738",
"telephone_number": "509-205-1145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERENE",
"first_name": "FAYE",
"middle_name": "LEONE",
"credential": "MDIV, LMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-28",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC 60298899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.