Active NPI
Serene Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Aiken, SC
National Provider Identifier
1114622693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SERENE HEALTH
- Practice address
- 410 University Pkwy Ste 2000
Aiken, SC 29801-6808 - Phone
- (706) 524-7134
- NPI assigned
- Apr 3, 2023
- Last updated
- Aug 24, 2026
- 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
- Oscar Medina
- Title
- Ceo
- Phone
- (619) 259-6999
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Psychiatry Physician | 2084P0800X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
410 University Pkwy Ste 2000
Aiken, SC 29801-6808
Mailing address
9265 Sky Park CT Ste 100
San Diego, CA 92123-4375
Phone (844) 737-3638
Other practice location 1
3740 Walton Way Ext
Augusta, GA 30907-2417
Phone (844) 737-3638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240424000065 | GA | Part B Supplier - Clinic/Group Practice | 0244652139 |
Receives reassigned benefits from 11 practitioners Practice locations: Augusta, GA |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tinley Park, IL
- NPI 1265182992
0244652139
National Provider Directory
National Provider Directory- Tax ID family
- Serene Health Ipa Medical Corporation
Other organizations with this tax ID 18
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric/Mental Health Nurse Practitioner
- Aiken, SC
- NPI 1235950080
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Ramon, CA
- NPI 1174275374
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Antioch, CA
- NPI 1225757263
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tinley Park, IL
- NPI 1265182992
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Riverside, CA
- NPI 1326703752
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- El Centro, CA
- NPI 1376207829
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tulare, CA
- NPI 1487319844
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Anaheim, CA
- NPI 1558026997
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cerritos, CA
- NPI 1639833197
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Apple Valley, CA
- NPI 1659037612
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Goodyear, AZ
- NPI 1760111314
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sacramento, CA
- NPI 1942965389
Locations
3740 Walton Way Ext
Augusta, GA 30907
Phone (706) 842-8680
523 Blackburn Dr
Augusta, GA 30907
523 Blackburn Dr
Ste 523
Augusta, GA 30907
Practitioners & affiliated clinicians
Practitioners 11
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.
-
- Professional Counselor
- Augusta, GA
- NPI 1326786724
-
- Psychiatric/Mental Health Nurse Practitioner
- Martinez, GA
- NPI 1194335620
-
- Clinical Social Worker
- Augusta, GA
- NPI 1790474492
-
- Marriage & Family Therapist
- Augusta, GA
- NPI 1083097455
-
- Counselor
- Augusta, GA
- NPI 1932765351
-
- Clinical Social Worker
- Atlanta, GA
- NPI 1124678412
-
- Professional Counselor
- Martinez, GA
- NPI 1982091856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1114622693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9265 SKY PARK CT STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234375",
"telephone_number": "844-737-3638",
"fax_number": "619-403-9496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 UNIVERSITY PKWY STE 2000",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016808",
"telephone_number": "706-524-7134"
}
],
"practiceLocations": [
{
"address_1": "3740 Walton Way Ext",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309072417",
"country_code": "US",
"telephone_number": "844-737-3638",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SERENE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-03",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "MEDINA",
"authorized_official_first_name": "OSCAR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "619-259-6999"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"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 Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.