Nicole Marie Serini, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P92018 Issued in NY

Practice address

1334 RT 9W
Marlboro, NY 12542

Phone

(845) 705-4790

NPI assigned

Mar 11, 2014

Last updated

Jun 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Marie Serini Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nicole M. Serini LMHC PLLC

  dba Roots & Resilience Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marlboro, NY
  • NPI 1861180069
  NPD Authorized official
• Astor Services for Children and Families

  • Health Maintenance Organization
  • Wingdale, NY
  • NPI 1548501877
  NPD (past)
• Michele Winchester-Vega LCSW PLLC

  dba Dr. Michele Winchester-Vega & Associates

  • Clinical Social Worker
  • New Windsor, NY
  • NPI 1831429414
  NPD (past)

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1922424209",
    "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": "12542",
            "telephone_number": "845-705-4790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6423 Route 55",
            "address_purpose": "LOCATION",
            "city": "Wingdale",
            "state": "NY",
            "postal_code": "125941501",
            "country_code": "US",
            "telephone_number": "845-350-3010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERINI",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P92018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SERINI",
            "middle_name": "MARIE",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Chantel Russ
• Samuel Schenker OD, PC
• Colleen B Schafer, CCC/SLP
• Samuel Schenker
• Ronda E Secor, LPN
• Dawn Spotards
• Starbright Applied Behavior Analyst,PLLC
• Daniel Brian Strauss, RPH.
• Elizabeth Ann Sutton, LPN
• Julie Swain, MED, BCBA

• Mental Health Counselor in Marlboro, NY
• Providers in Marlboro, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.