Organization Active NPI

Serene Life Counseling LLC

  • Mental Health Counselor
  • Rockville, MD
National Provider Identifier
1114642303
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SERENE LIFE COUNSELING LLC
Practice address
451 Hungerford Dr Ste 19
Rockville, MD 20850-4151
Phone
(240) 416-9092
NPI assigned
Oct 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Authorized official

Name
Irene Opabajo, LCPCNPI 1821630377
Title
Therapist
Phone
(240) 416-9092

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

451 Hungerford Dr Ste 19
Rockville, MD 20850-4151

Mailing address

451 Hungerford Dr Ste 19
Rockville, MD 20850-4151

National Provider Directory

National Provider Directory

Locations

451 Hungerford Dr
Ste 19
Rockville, MD 20850
Phone (240) 416-9092

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1114642303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 HUNGERFORD DR STE 19",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 HUNGERFORD DR STE 19",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504151",
            "telephone_number": "240-416-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "OPABAJO",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "240-416-9092",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.