Active NPI
Serena Ronnell Corbett, AAC, CBT
- Mental Health Counselor
- Lynnwood, WA
National Provider Identifier
1841978277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 19707 44TH Ave W Ste 201
Lynnwood, WA 98036-6758 - Phone
- (425) 371-7825
- NPI assigned
- Jul 6, 2023
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
19707 44TH Ave W Ste 201
Lynnwood, WA 98036-6758
Mailing address
12250 Greenwood Ave N Apt 107
Seattle, WA 98133-8165
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1841978277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12250 GREENWOOD AVE N APT 107",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981338165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19707 44TH AVE W STE 201",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366758",
"telephone_number": "425-371-7825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "SERENA",
"middle_name": "RONNELL",
"credential": "AAC, CBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-06",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.