SERENA KILL – Professional Counselor, NPI 1730562414

SERENA KILL is a healthcare provider. based in Independence, Kansas. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 2794 (KS). The NPI Number for SERENA KILL is 1730562414

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SERENA KILL
NPI
1730562414
Phone
Not provided
Address
PO BOX 688
Enumeration Date
30 June 2015
Last Update Date
24 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6203311748
Graduation Year
2015 (11 years ago)
PAC ID
8224487301
Group Practice PAC ID
7012904071
Professional Enrollment ID
I20231214001933
Address ID
KS673017841IN3354X160X300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

387 MENTAL HEALTH COUNSELOR in KS

Provider Addresses for SERENA KILL

  • PO BOX 688

    INDEPENDENCE, KS 673010688

    Phone:

    Type: Mailing

  • 3751 W MAIN ST

    INDEPENDENCE, KS 673018446

    Phone: (620) 331-1748

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231214001933IMental Health CounselorKSTBD
I20260201000070IMental Health CounselorOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012904071View full group profile
NameSpecialtyState
Physician AssistantKS
-KS
Mental Health CounselorKS
Nurse PractitionerKS
Nurse PractitionerKS
-TX
Mental Health CounselorKS
Physician AssistantKS
Clinical Social WorkerKS
Mental Health CounselorKS

Reviews

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Frequently asked questions

Can I verify SERENA KILL with an NPI only?
You can start verification with NPI 1730562414 for SERENA KILL, then check state licensing separately.
Does the file indicate SERENA KILL is practicing under active NPI?
Directory data currently reports SERENA KILL as active.
What is SERENA KILL's primary classification?
Professional Counselor is the headline specialty for SERENA KILL here. Clinical services aligned with this taxonomy classification.
What address line appears for SERENA KILL?
SERENA KILL's geographic hint is Independence, Kansas in our summary view.
Why does SERENA KILL have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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