Active NPI
Serenity Care Counseling
- Case Management Agency
- Philadelphia, PA
National Provider Identifier
1003204439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 1822022
- Legal business name
- SERENITY CARE COUNSELING
- Practice address
- 3331 W Allegheny Ave
Philadelphia, PA 19132-1014 - Phone
- (215) 617-8519
- NPI assigned
- Jan 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rysheena Wynder-Preston, LSW, SOCIAL WORKER
- Title
- Owner
- Phone
- (215) 617-8519
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 1822022 | PA | Primary |
| Developmentally Disabled Services Day Training Agency | 251C00000X | 1822022 | PA | |
| Home Health Agency | 251E00000X | 1822022 | PA | |
| Community Based Hospice Care Agency | 251G00000X | 1822022 | PA | |
| Community/Behavioral Health Agency | 251S00000X | 1822022 | PA | |
| In Home Supportive Care Agency | 253Z00000X | 1822022 | PA |
Addresses
Primary practice location
3331 W Allegheny Ave
Philadelphia, PA 19132-1014
Mailing address
3331 W Allegheny Ave
Philadelphia, PA 19132-1014
Phone (215) 617-8519
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420675200000",
"number": "1003204439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3331 W ALLEGHENY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191321014",
"telephone_number": "215-617-8519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3331 W ALLEGHENY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191321014",
"telephone_number": "215-617-8519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY CARE COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-07",
"last_updated": "2015-01-08",
"status": "A",
"authorized_official_last_name": "WYNDER-PRESTON",
"authorized_official_first_name": "RYSHEENA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-617-8519",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LSW, SOCIAL WORKER"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "PA",
"license": "1822022",
"primary": true
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "PA",
"license": "1822022",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "1822022",
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "PA",
"license": "1822022",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "1822022",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "PA",
"license": "1822022",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.