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SERENA BOLDISZAR MA, LPC, CAADC, NCC
NPI 1487079893
Counselor in Center Line, MI

Active since February 20, 2014PECOS EnrolledAccepts Medicare Assignment
6900 E 10 MILE RD, CENTER LINE, MI 48015(586) 501-3070 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2022, Oct 3, 2018 (2 updates tracked since 2018).

About Serena Boldiszar Ma, Lpc, Caadc, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENA BOLDISZAR MA, LPC, CAADC, NCC (NPI 1487079893) is an individual counselor in Center Line, Michigan, licensed in Michigan (6401015238) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pontiac, and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2014).

NPPES Registry Identity

NPI1487079893
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSERENA BOLDISZARCredential: MA, LPC, CAADC, NCC
Location Address6900 E 10 MILE RDCenter Line, MI 48015-1168
Mailing Address6900 E 10 Mile RdCenter Line, MI 48015-1168 · (586) 501-3070
Phone(586) 501-3070
Sole ProprietorNo
Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2014
Enumeration DateFebruary 20, 2014
Last NPPES UpdateAugust 1, 20222 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
✔ NPI 1487079893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MI · 6401015238
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
6900 E 10 MILE RD, Center Line, MI 48015
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Secondary Practice Location 1

Location 11685 Baldwin AvePontiac, MI 48340-1115 · Phone (248) 706-3450 · Fax (248) 706-3455

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Serena Boldiszar Ma, Lpc, Caadc, Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163867326
PECOS Enrollment IDI20240227002637
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JADA FANN
Case Manager/Care Coordinator
6900 E 10 MILE RD
CENTER LINE, MI 48015
Macomb County (947) 262-8463
DANIELLE LEWIS
Social Worker (School)
6900 E 10 MILE RD
CENTER LINE, MI 48015
Macomb County (586) 501-3070
SHANNON COLLEEN PAPEZ-RUSHTON
Case Manager/Care Coordinator
6900 E 10 MILE RD
CENTER LINE, MI 48015
Macomb County (586) 501-3070
MELISSA ANN SERRA LMSW
Social Worker (Clinical)
6900 E 10 MILE RD
CENTER LINE, MI 48015
Macomb County (248) 475-6300
EMMANUEL YAPSO DEALCA LMSW
Social Worker (Clinical)
6900 E 10 MILE RD
CENTER LINE, MI 48015
Macomb County (586) 501-3070
DR. YANYAN WANG DNP, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6900 E 10 MILE RD
CENTER LINE, MI 48015
Macomb County (586) 501-3070
MARKEISHA MCCALL
Case Manager/Care Coordinator
6900 E 10 MILE RD
CENTER LINE, MI 48015
Macomb County (586) 501-3070
AMANDA LYNN SIDELKO RN
Registered Nurse
6900 E 10 MILE RD
CENTER LINE, MI 48015
Macomb County (586) 263-8700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serena Boldiszar's NPI number?

The NPI number for Serena Boldiszar is 1487079893. It was assigned to this individual provider in the NPPES registry on February 20, 2014.

Where is Serena Boldiszar located?

Serena Boldiszar practices at 6900 E 10 Mile Rd, Center Line, MI 48015. The listed phone number is (586) 501-3070.

What is Serena Boldiszar's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Serena Boldiszar enrolled in Medicare?

Yes. Serena Boldiszar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Serena Boldiszar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Oscar Insurance Company and 1 other insurer list Serena Boldiszar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Serena Boldiszar was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.