Organization Active NPI

Serenidad Counseling LLC

  • Community/Behavioral Health Agency
  • Elkhart, IN
National Provider Identifier
1013770080
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SERENIDAD COUNSELING LLC
Doing business as
Serenidad Counseling
Practice address
234 Waterfall Dr Ste D
Elkhart, IN 46516-3682
Phone
(574) 205-9560
Fax
(574) 544-5960
NPI assigned
Feb 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yessica Lawson Gonzalez, LCSWNPI 1740934520
Title
Therapist/Owner
Phone
(574) 205-9560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

234 Waterfall Dr Ste D
Elkhart, IN 46516-3682

Mailing address

50832 Acorn TRL
Elkhart, IN 46514-7730
Phone (574) 222-6514

Other names 1

  • Serenidad Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

234 Waterfall Dr
Ste D
Elkhart, IN 46516
Phone (574) 205-9560

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1013770080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50832 ACORN TRL",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465147730",
            "telephone_number": "574-222-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 WATERFALL DR STE D",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465163682",
            "telephone_number": "574-205-9560",
            "fax_number": "574-544-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENIDAD COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "LAWSON GONZALEZ",
        "authorized_official_first_name": "YESSICA",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "574-205-9560",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenidad Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.