NPIMap

Organization Active NPI

Serenity Counseling & Wellness, Inc

  • Professional Counselor
  • Pearl, MS
National Provider Identifier
1063875789
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1469 Issued in MS
Legal business name
SERENITY COUNSELING & WELLNESS, INC
Practice address
209 Park Place CV
Suite E
Pearl, MS 39208-8948
Phone
(601) 420-2210
Fax
(601) 420-2210
NPI assigned
Mar 31, 2016
Last updated
Mar 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Dr. Annese Hutchins, PH.D., LPCNPI 1437487733
Title
President
Phone
(601) 420-2210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1469 MS Primary
Professional Counselor 101YP2500X 1817 MS
Professional Counselor 101YP2500X 2783 LA

Addresses

Primary practice location

209 Park Place CV
Suite E
Pearl, MS 39208-8948

Mailing address

209 Park Place CV
Suite E
Pearl, MS 39208-8948
Phone (601) 420-2210

National Provider Directory

National Provider Directory

Locations

209 Park Place Cv
Ste E
Pearl, MS 39208
Phone (601) 420-2210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1063875789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PARK PLACE CV",
            "address_2": "SUITE E",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392088948",
            "telephone_number": "601-420-2210",
            "fax_number": "601-420-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PARK PLACE CV",
            "address_2": "SUITE E",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392088948",
            "telephone_number": "601-420-2210",
            "fax_number": "601-420-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COUNSELING & WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "HUTCHINS",
        "authorized_official_first_name": "ANNESE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-420-2210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1469",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1817",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.