Serenity Therapy Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SERENITY THERAPY SERVICES LLC

Practice address

2300 Montana Ave Ste 536
Cincinnati, OH 45211-3829

Phone

(513) 202-4095

NPI assigned

May 18, 2020

Last updated

May 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tahlisha S Dorsey, LISWNPI 1588019269

Title

Owner, Lead Therapist

Phone

(513) 387-9870

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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.

• Tahlisha Dorsey, LSW

  • Social Worker
  • Fairfield, OH
  • NPI 1588019269
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1083236665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 QUEEN CITY AVE APT 6",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MONTANA AVE STE 536",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452113829",
            "telephone_number": "513-202-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "TAHLISHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER, LEAD THERAPIST",
        "authorized_official_telephone_number": "513-387-9870",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0379115",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "theranest.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Client infromation that client provides permission to share.",
            "address_1": "2300 Montana Ave Ste 536",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452113829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamela B Sequeira, MD
• Luis Rafael Sequera Ramos, M.D.
• Serene Home Health Care Aid
• Serenity Elder Care Services
• Serenity Springs Group Home
• Gina Michelle Sergent
• Deborah L Serls, LSW
• Karen Sermersheim, RD,LD
• Jessica Maria Serna, CRNA
• Daniel Serota

• Mental Health Clinic/Center (Including Community Mental Health Center) in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.