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Serena Lacour

Specialist β€’ Edmonds, WA

Active NPI 1215063045 Individual Practitioner Female Practitioner
Practice location in NPPES

7614 195th St Sw Ste 101
Edmonds, WA 980266260

Call 4257754059 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7614 195th St Sw Ste 101

Edmonds, WA 980266260

Telephone 4257754059
Organization at the Same NPPES Address or Phone
Bluestone Psychological Services, Llc Facility NPI 1811269624

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Edmonds and Washington

30 active clinicians are listed under Specialist with a practice address in Edmonds, WA (2,609 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Edmonds

6.7% of these 30 clinicians have the CMS telehealth indicator.

6.7% of these 30 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1306922554 (CA)
Medicaid ID
1841342318 (CA)
Medicaid ID
1265520183 (CA)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Christine Vervitsiotis , MS, LMHC

Counselor - Mental Health

NPI 1366016313

Master of Science, Licensed Mental Health Counselor

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 27, 2019

Registered at 7614 195TH ST SW STE 101, EDMONDS, WA 980266260 (Tel: 4257754059)

πŸ“
Updated Business Mailing Address March 27, 2019

Registered at 20126 BALLINGER WAY NE # 290, SHORELINE, WA 981551117

βœ…
NPI Profile Active July 29, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 29, 2014

Registered at 2001 S BARRINGTON AVE, LOS ANGELES, CA 900255363 (Tel: 3234478372)

πŸ“
Business Mailing Address (Initial Record) July 29, 2014

Registered at 2001 S BARRINGTON AVE, LOS ANGELES, CA 900255363

πŸ‘€
Provider Name / Credentials (Initial Record) July 29, 2014

Recorded as SERENA LACOUR

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2014

Specialist

🟒
Initial NPI Registration & Enumeration February 26, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215063045
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2007
Last Update: March 27, 2019
Sole Proprietor: No

Other Specialists in Edmonds

Healthcare providers in Edmonds

Mailing Address

20126 Ballinger Way Ne # 290

Shoreline, WA 981551117

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.