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
- 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
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
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.
-
- 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.