SERENA ALBERTA ROBERTSON BA
NPI 1700353604
Marriage & Family Therapist in Auburn, WA
NPI Status: Active since October 29, 2018
- Individual
- Female
- Marriage & Family Therapist
- PECOS Enrolled
- Opted-Out Medicare
About SERENA ROBERTSON
This page provides the complete NPI Profile along with additional information for Serena Robertson, a provider established in Auburn, Washington with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1700353604 assigned on October 2018. The practitioner's primary taxonomy code is 106H00000X. The provider is registered as an individual and her NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1700353604
- Provider Name
- SERENA ALBERTA ROBERTSON BA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1000 AUBURN WAY S AUBURN, WA 98002
- Location Phone
- (253) 939-2202
- Mailing Address
- 1000 AUBURN WAY S AUBURN, WA 98002
- Mailing Phone
- (253) 939-2202
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-29-2018
- Last Update Date
- 10-29-2018
- Code Navigator
A marriage and family therapist like Serena Robertson help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Serena Robertson opted out of Medicare effective on 09-23-2024 until 09-23-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Marriage & Family Therapist
- Taxonomy Code
- 106H00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medicare Participation & PECOS Enrollment Status
Serena Robertson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 09-23-2024
Opt-Out End Date: 09-23-2026
Eligible to Order and Refer? No
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 3 | 5 | 3 | 6 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 6 | 5 | 6 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 6 + 5 + 6 + 6 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1700353604 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073527354 | CYNTHIA L RUBBERT PAC Individual | Physician Assistant (Medical) | 1000 AUBURN WAY S AUBURN, WA 98002 (253) 395-2002 |
| 1336158393 | DENNIS A STUMPP MD Individual | Preventive Medicine (Occupational Medicine) | 1000 AUBURN WAY S AUBURN, WA 98002 (253) 395-2002 |
| 1760680524 | MS. ELLEN B. HULL CRC Individual | Case Manager/Care Coordinator | 1000 AUBURN WAY S AUBURN, WA 98002 (425) 228-3440 |
| 1033317060 | KRISTINE N PAULSON PTA Individual | Physical Therapy Assistant | 1000 AUBURN WAY S AUBURN, WA 98002 (253) 395-2002 |
| 1821289802 | MRS. MELISSA ANNE BROWN PT Individual | Physical Therapist | 1000 AUBURN WAY S AUBURN, WA 98002 (253) 395-2002 |
| 1831468776 | LANA E SIMMONS Individual | Marriage & Family Therapist | 1000 AUBURN WAY S AUBURN, WA 98002 (253) 939-2202 |
| 1225418502 | SPENCER BRENT YOUNGBERG Individual | Marriage & Family Therapist | 1000 AUBURN WAY S AUBURN, WA 98002 (253) 939-2202 |
| 1760856991 | MS. AMANDA JOELLE WENDT MA Individual | Counselor (Mental Health) | 1000 AUBURN WAY S AUBURN, WA 98002 (253) 218-8019 |
| 1134548035 | ELIZABETH SHEPHERD M.A. Individual | Counselor (Mental Health) | 1000 AUBURN WAY S AUBURN, WA 98002 (253) 939-2202 |
| 1043765001 | BARBARA GARVIN Individual | Marriage & Family Therapist | 1000 AUBURN WAY S AUBURN, WA 98002 (253) 939-2202 |
| 1083164248 | CAITLIN SULLIVAN Individual | Marriage & Family Therapist | 1000 AUBURN WAY S AUBURN, WA 98002 (253) 939-2202 |
| 1467902569 | JESSICA HOLT LMFTA, CDPT Individual | Marriage & Family Therapist | 1000 AUBURN WAY S AUBURN, WA 98002 (253) 939-2202 |
| 1386927788 | MRS. JANET LEONE RENCKEN-SHOE LMHC Individual | Counselor (Mental Health) | 1000 AUBURN WAY S NEXUS YOUTH AND FAMILIES AUBURN, WA 98002 (253) 939-2202 |
| 1740701242 | SABRINA SOUZA MS Individual | Marriage & Family Therapist | 1000 AUBURN WAY S AUBURN, WA 98002 (253) 939-2202 |
| 1457874760 | NATALIE HILLEGAS Individual | Counselor (Mental Health) | 1000 AUBURN WAY S AUBURN, WA 98002 (253) 939-2202 |
| 1932676061 | MR. CHARLES HESTER CHEEK CAAR Individual | Counselor | 1000 AUBURN WAY S AUBURN, WA 98002 (253) 939-2202 |
| 1780151829 | MRS. LORA KING LMFTA Individual | Marriage & Family Therapist | 1000 AUBURN WAY S AUBURN, WA 98002 (253) 939-2202 |
| 1033595368 | KIRSTEN BYRNES Individual | Counselor (Addiction (Substance Use Disorder)) | 1000 AUBURN WAY S AUBURN, WA 98002 (253) 939-2202 |
| 1336617984 | CHELSEA HARBOTTLE LMFT CANDIDATE Individual | Counselor (Mental Health) | 1000 AUBURN WAY S AUBURN, WA 98002 (253) 939-2202 |
| 1306314042 | LISA MARIE CAUGHRON LMFTA Individual | Marriage & Family Therapist | 1000 AUBURN WAY S AUBURN, WA 98002 (425) 358-9451 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700353604, enumerated in the NPI registry as an "individual" on October 29, 2018
The provider is located at 1000 Auburn Way S Auburn, Wa 98002 and the phone number is (253) 939-2202
The provider's speciality is Marriage & Family Therapist with taxonomy code 106H00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
No, the provider signed an affidavit on September 23, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until September 23, 2026.
This NPI record was last updated on October 29, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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