Active NPI
Serenity Mental Health Center, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glassboro, NJ
National Provider Identifier
1083440283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.