Individual provider Active NPI

Judith Minna Serfaty, LCPC

  • Mental Health Counselor
  • Rockville, MD
National Provider Identifier
1811475676
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC8701 Issued in MD
Practice address
200 Wood Hill Rd
Rockville, MD 20850-8724
Phone
(301) 838-4200
Fax
(301) 468-1862
NPI assigned
Aug 3, 2018
Last updated
Nov 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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 LC8701 MD Primary

Addresses

Primary practice location

200 Wood Hill Rd
Rockville, MD 20850-8724

Mailing address

200 Wood Hill Rd
Rockville, MD 20850-8724
Phone (301) 838-4200

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
LC8701MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1811475676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WOOD HILL RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508724",
            "telephone_number": "301-838-4200",
            "fax_number": "014-681-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WOOD HILL RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508724",
            "telephone_number": "301-838-4200",
            "fax_number": "301-468-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERFATY",
        "first_name": "JUDITH",
        "middle_name": "MINNA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC8701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.