Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215063045 Individual Practitioner Female Practitioner

Serena Lacour

Specialist • Edmonds, WA

Professional Overview & Biography Verified Profile Summary

Serena Lacour is a registered healthcare professional specializing in Specialist in Edmonds, WA. Practice services are available at 7614 195TH ST SW STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7614 195th St Sw Ste 101

Edmonds, WA 980266260

Telephone 4257754059
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Edmonds, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
30 Specialists

Practicing in Edmonds, WA (2751 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

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.

Additional State Medicaid & Healthcare Payer Identifiers

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Jeanette Kraemer , LICSW

Social Worker - Clinical

NPI 1003403395

Licensed Independent Clinical Social Worker

Dr. William Roedel , PhD

Psychologist - Counseling

NPI 1356648794

Doctor of Philosophy (Ph.D.)

Christine Vervitsiotis , MS, LMHC

Counselor - Mental Health

NPI 1366016313

Master of Science, Licensed Mental Health Counselor

Dr. Julie Hanson , PsyD

Counselor - Mental Health

NPI 1447343025

Doctor of Psychology (Psy.D.)

Doralissa Griffin , MS

Counselor - Mental Health

NPI 1457654741

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 27, 2019

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

📍
Updated Business Mailing Address March 27, 2019

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

NPI Profile Active July 29, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2014

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

📍
Updated Business Mailing Address July 29, 2014

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

👤
Provider Name / Credentials Updated July 29, 2014

Recorded as SERENA LACOUR

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

20126 Ballinger Way Ne # 290

Shoreline, WA 981551117

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.