SERENA FUNG M.A.
NPI 1831256569
Marriage & Family Therapist in Roseville, CA

Active since January 02, 2007Opted out of Medicare · through Feb 1, 2028
1380 LEAD HILL BLVD STE 110, ROSEVILLE, CA 95661(916) 672-8121(408) 689-8195 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Serena Fung M.a. NPPES

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

SERENA FUNG M.A. (NPI 1831256569) is an individual marriage & family therapist in Roseville, California, licensed in California (MFC 38563) and active in the NPI registry since January 2007. She has opted out of Medicare through February 1, 2028.

NPPES Registry Identity

NPI1831256569
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSERENA FUNGCredential: M.A.
Location Address1380 LEAD HILL BLVD STE 110Roseville, CA 95661-2997
Mailing Address1380 Lead Hill Blvd Ste 110Roseville, CA 95661-2997 · (916) 672-8121 · Fax (408) 689-8195
Fax(408) 689-8195
Sole ProprietorYes
Enumeration DateJanuary 2, 2007
Last NPPES UpdateMarch 20, 2020
NPPES CertifiedMarch 20, 2020
NPI 1831256569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · MFC 38563
Definition
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.
1380 LEAD HILL BLVD STE 110, Roseville, CA 95661

Other Names 1

Former Name (1)Serena Lai M.a.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Serena Fung M.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2024 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2024
Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Specialist
1380 LEAD HILL BLVD STE 110
ROSEVILLE, CA 95661

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 Fung's NPI number?

The NPI number for Serena Fung is 1831256569. It was assigned to this individual provider in the NPPES registry on January 2, 2007. The provider is also known as Serena Lai M.A..

Where is Serena Fung located?

Serena Fung practices at 1380 Lead Hill Blvd Ste 110, Roseville, CA 95661. The listed phone number is (916) 672-8121.

What is Serena Fung's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Serena Fung enrolled in Medicare?

No. Serena Fung has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Serena Fung was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.