Individual provider Active NPI

Laura Serazin, LPCC

  • Professional Counselor
  • Cleveland, OH
National Provider Identifier
1821543307
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2001721 Issued in OH
Practice address
1744 Payne Ave
Cleveland, OH 44114-2910
Phone
(216) 623-6555
NPI assigned
Aug 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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 E.2001721 OH Primary

Addresses

Primary practice location

1744 Payne Ave
Cleveland, OH 44114-2910

Mailing address

32037 Grove St
Avon Lake, OH 44012-1906
Phone (440) 213-6171

Other practice location 1

6100 Oak Tree Blvd
Suite 200
Independence, OH 44131-2544
Phone (330) 518-8334

Other practice location 2

5905 Brecksville Rd
Independence, OH 44131-1517
Phone (216) 524-4673 ext. 224

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
I20240129004052 OH Practitioner - Mental Health Counselor 1557714219 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
P.a.L.S. for Healing CurrentSince Jan 1, 2024 Accepting new patients
Cornerstone of Hope Inc CurrentSince Mar 16, 2021 Accepting new patients
Cornerstone of Hope PastSince Jun 1, 2020 Accepting new patients

Locations

2000 Auburn Dr
Ste 200
Cleveland, OH 44122
Phone (216) 378-7633

4700 Rockside Rd
Ste 135
Independence, OH 44131
Phone (330) 518-8334

6100 Oak Tree Blvd
Ste 200
Independence, OH 44131
Phone (330) 344-9030

5905 Brecksville Rd
Independence, OH 44131
Phone (216) 524-4673

24600 Center Ridge Rd
Ste 260
Westlake, OH 44145
Phone (330) 518-8334

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1821543307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32037 GROVE ST",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121906",
            "telephone_number": "440-213-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 PAYNE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142910",
            "telephone_number": "216-623-6555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Oak Tree Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "OH",
            "postal_code": "441312544",
            "country_code": "US",
            "telephone_number": "330-518-8334",
            "fax_number": "440-628-8123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5905 Brecksville Rd",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "OH",
            "postal_code": "441311517",
            "country_code": "US",
            "telephone_number": "216-524-4673 x224",
            "fax_number": "216-524-3743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERAZIN",
        "first_name": "LAURA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2001721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.