Seraphim Chemodakov, MA LAC
NPI 1104397967 · Mental Health Counselor · East Brunswick, NJ
Enrolled with Medicare as Practitioner - Marriage and Family Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Seraphim Chemodakov, MA LAC is a Mental Health Counselor provider in East Brunswick, NJ (NPI 1104397967).
Provider details
- NPI number
- 1104397967
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA LAC
- Sex
- Male
- Sole proprietor
- No
- License
- 37AC00445600 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-12-05
- Last updated
- 2018-12-05
Frequently asked questions
- What is Seraphim Chemodakov's NPI number?
- Seraphim Chemodakov's National Provider Identifier (NPI) is 1104397967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Seraphim Chemodakov's specialty?
- Seraphim Chemodakov is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Seraphim Chemodakov located?
- Seraphim Chemodakov's practice location on file with NPPES is 15 W Prospect St Ste 2, East Brunswick, NJ 08816-2161.
- What is Seraphim Chemodakov's phone number?
- The practice phone number listed in the NPPES registry for Seraphim Chemodakov is (732) 254-0600.
- Does Seraphim Chemodakov accept Medicare?
- Seraphim Chemodakov is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Seraphim Chemodakov's NPI active?
- Yes — Seraphim Chemodakov's NPI (1104397967) is active in the NPPES registry as of the last update on 2018-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.