Organization Active NPI

Serenity Mental Health Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glassboro, NJ
National Provider Identifier
1083440283
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SERENITY MENTAL HEALTH CENTER, LLC
Practice address
15 S Poplar St Unit 218
Glassboro, NJ 08028-3607
Phone
(856) 347-2066
NPI assigned
Sep 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Brandon Freeman, LPC
Title
Therapist
Phone
(856) 347-2066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

15 S Poplar St Unit 218
Glassboro, NJ 08028-3607

Mailing address

15 S Poplar St Unit 218
Glassboro, NJ 08028-3607
Phone (856) 347-2066

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1083440283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S POPLAR ST UNIT 218",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080283607",
            "telephone_number": "856-347-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S POPLAR ST UNIT 218",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080283607",
            "telephone_number": "856-347-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MENTAL HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "856-347-2066",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.