Serenity Family Therapy Center, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1638 Issued in CT

Legal business name

SERENITY FAMILY THERAPY CENTER, LLC

Practice address

49 Broad St
Plainville, CT 06062-4201

Phone

(860) 877-1727

NPI assigned

Dec 8, 2016

Organization subpart

No

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

Authorized official

Name

Cassie NowakNPI 1124440854

Title

Manager

Phone

(860) 877-1727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

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

• Cassie Nowak, LMFT

  • Marriage & Family Therapist
  • Bristol, CT
  • NPI 1124440854
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1124562210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 HARRISON ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105170",
            "telephone_number": "860-877-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 BROAD ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060624201",
            "telephone_number": "860-877-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY FAMILY THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-877-1727"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janae Schneider
• Susan Elizabeth Schneider, LCSW
• Linda Ann Schultz, LPC
• Nicolangelo Scibelli
• Samantha Jane Scott, M.S.W.
• Arlene Serrano
• Felipe F. Serrano, A.S.
• Heather Lynn Severino, MSW
• Sobia Rizwan Shaikh
• Kayla Marie Shannon

• Marriage & Family Therapist in Plainville, CT
• Providers in Plainville, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.

Verify at the official NPI Registry.