Organization Active NPI

Serenity Psychiatric & Counseling Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Edison, NJ
National Provider Identifier
1083304810
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SERENITY PSYCHIATRIC & COUNSELING SERVICES
Practice address
1199 Amboy Ave Ste 287-F5
Edison, NJ 08837-2552
Phone
(732) 333-7249
NPI assigned
May 15, 2023
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Mrs. Barbara Bousi Njuguna, APNNPI 1235638230
Title
Ceo
Phone
(302) 981-6124

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1199 Amboy Ave Ste 287-F5
Edison, NJ 08837-2552

Mailing address

1199 Amboy Ave Ste 287-F5
Edison, NJ 08837-2552
Phone (732) 333-7249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230803000747 NJ Part B Supplier - Clinic/Group Practice 4789045006 Receives reassigned benefits from 2 practitioners
Practice locations: Edison, NJ

National Provider Directory

National Provider Directory

Locations

1199 Amboy Ave
Ste 287F5
Edison, NJ 08837
Phone (732) 333-7249

Practitioners & affiliated clinicians

Practitioners 2

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": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1083304810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 AMBOY AVE STE 287-F5",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372552",
            "telephone_number": "732-333-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 AMBOY AVE STE 287-F5",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372552",
            "telephone_number": "732-333-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PSYCHIATRIC & COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "NJUGUNA",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "BOUSI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-981-6124",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.