Individual provider Active NPI

Amelia Renee Serio

  • Professional Counselor
  • Beachwood, OH
National Provider Identifier
1790284826
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E2404055 Issued in OH
Practice address
3401 Enterprise Pkwy Ste 340-544
Beachwood, OH 44122-7341
Phone
(216) 200-6909
NPI assigned
Feb 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E2404055 OH Primary

Addresses

Primary practice location

3401 Enterprise Pkwy Ste 340-544
Beachwood, OH 44122-7341

Mailing address

3401 Enterprise Pkwy Ste 340-544
Beachwood, OH 44122-7341
Phone (440) 241-5472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240402002953 OH Practitioner - Mental Health Counselor 4284072828 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2404055OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Health Inc CurrentSince Jan 30, 2024 Accepting new patients
Signature Health, Inc. Mental Health Current Accepting new patients
Signature Health, Inc CurrentSince Jan 30, 2024 Accepting new patients
Vita Nova Wellness Mental Health CurrentSince Dec 26, 2024 Accepting new patients

Locations

3401 Enterprise Pkwy
Ste 340544
Beachwood, OH 44122
Phone (216) 200-6909

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

38882 Mentor Ave
Willoughby, OH 44094

38876 Mentor Ave
Willoughby, OH 44094
Phone (440) 954-3333

Organizations & group practices 4

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": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1790284826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 ENTERPRISE PKWY STE 340-544",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227341",
            "telephone_number": "440-241-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 ENTERPRISE PKWY STE 340-544",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227341",
            "telephone_number": "216-200-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERIO",
        "first_name": "AMELIA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E2404055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.