NPIMap

Organization Active NPI

Nicole M. Serini LMHC PLLC

Doing business as Roots & Resilience Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marlboro, NY
National Provider Identifier
1861180069
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NICOLE M. SERINI LMHC PLLC
Doing business as
Roots & Resilience Wellness
Practice address
1334 RT 9W
Marlboro, NY 12542-1252
Phone
(845) 705-4790
NPI assigned
Apr 26, 2023
Last updated
Jun 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Mrs. Nicole Marie Serini, LMHCNPI 1922424209
Title
Owner
Phone
(845) 705-4790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1334 RT 9W
Marlboro, NY 12542-1252

Mailing address

37A Bell Dr
Highland, NY 12528-1607
Phone (845) 705-4790

Other names 1

  • Roots & Resilience Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1861180069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37A BELL DR",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125281607",
            "telephone_number": "845-705-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 RT 9W",
            "city": "MARLBORO",
            "state": "NY",
            "postal_code": "125421252",
            "telephone_number": "845-705-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE M. SERINI LMHC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "SERINI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-705-4790",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roots & Resilience Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roots & Resilience Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlboro, NY

Sources for this page

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

Verify at the official NPI Registry.