Organization Active NPI

Serenity Impact LLC

  • Professional Counselor
  • Aiken, SC
National Provider Identifier
1073489704
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SERENITY IMPACT LLC
Practice address
900 Trail Ridge Rd Ste 147
Aiken, SC 29803-7765
Phone
(803) 770-8408
NPI assigned
Oct 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Mrs. Bobbiann Profitt, LPCNPI 1275654279
Title
Owner
Phone
(908) 249-3989

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

900 Trail Ridge Rd Ste 147
Aiken, SC 29803-7765

Mailing address

237 Archdale Dr
Aiken, SC 29803-8552
Phone (803) 770-8408

National Provider Directory

National Provider Directory

Locations

900 Trail Ridge Rd
Ste 147
Aiken, SC 29803
Phone (803) 770-8408

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": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1073489704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 ARCHDALE DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298038552",
            "telephone_number": "803-770-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 TRAIL RIDGE RD STE 147",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037765",
            "telephone_number": "803-770-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY IMPACT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "PROFITT",
        "authorized_official_first_name": "BOBBIANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-249-3989",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.