Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johnny Mittleman Serrano I

Individual provider Mental Health Counselor · NPI 1609587955

Johnny Mittleman Serrano I is a Mental Health Counselor in New York, New York. Qualified in 2022, 4 years ago. Registered with an NPI since 2022.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

65 Broadway Ste 505
New York, NY 10006-2540
Phone: (212) 677-8550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1609587955
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 7, 2022
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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