Individual provider Active NPI

Serena Bye, M.S.

  • Professional Counselor
  • Cedarburg, WI
National Provider Identifier
1811628688
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
W62N281 Washington Ave
Cedarburg, WI 53012-2737
Phone
(262) 334-4340
NPI assigned
Jun 22, 2022
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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 NU Primary

Addresses

Primary practice location

W62N281 Washington Ave
Cedarburg, WI 53012-2737

Mailing address

7140 W Mount Vernon Ave
Milwaukee, WI 53213-3758
Phone (952) 873-9625

Other practice location 1

7140 W Mount Vernon Ave
Milwaukee, WI 53213-3758
Phone (952) 873-9625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240909000800 WI Practitioner - Mental Health Counselor 9638619471 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Cedarburg Physical Therapy, Inc CurrentSince Jun 26, 2022 Accepting new patients
Kettle Moraine Counseling LLC Single Specialty CurrentSince Jul 26, 2024 Accepting new patients
Affiliated Clinical Services Inc Single Specialty PastSince Jul 26, 2024 Accepting new patients

Locations

W62N281 Washington Ave
Cedarburg, WI 53012
Phone (262) 334-4340

400 W River Dr
West Bend, WI 53090
Phone (262) 334-4340

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1811628688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7140 W MOUNT VERNON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532133758",
            "telephone_number": "952-873-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W62N281 WASHINGTON AVE",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122737",
            "telephone_number": "262-334-4340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7140 W Mount Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532133758",
            "country_code": "US",
            "telephone_number": "952-873-9625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYE",
        "first_name": "SERENA",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarburg, WI

Sources for this page

Verify at the official NPI Registry.