MARIO ALVAREZ SERRANO LCPC JD NPI 1730649781

NPI Information

NPI: 1730649781
Provider Name: MARIO ALVAREZ SERRANO, LCPC, JD
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
180 N MICHIGAN AVE STE 1830
CHICAGO, IL
ZIP 60601
Phone: (312) 513-7771
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Mario Alvarez Serrano, LCPC, JD is a mental health counselor in Chicago, IL. Mario Alvarez Serrano, LCPC, JD NPI is 1730649781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

180 N MICHIGAN AVE STE 1830
CHICAGO, IL
ZIP 60601-407
Phone: (312) 513-7771
Fax: (312) 263-1933

The enumeration date for this NPI number is 3/24/2019 and was last updated on 6/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	180.011027	ILLINOIS	No
2	101YP2500X	Counselor	Professional	180.011027	ILLINOIS	No
3	101YM0800X	Counselor	Mental Health	180.011027	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	14426840	OTHER	ILLINOIS	CAQH PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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