NPIMap

Organization Active NPI

Discovering Serenity Counseling Services LLC

  • Social Worker
  • Chestertown, MD
National Provider Identifier
1144816216
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
DISCOVERING SERENITY COUNSELING SERVICES LLC
Practice address
115 S Lynchburg St Ste E
Chestertown, MD 21620-1198
Phone
(443) 331-4708
NPI assigned
Dec 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Rebecca DemattiaNPI 1134550866
Title
President
Phone
(443) 331-4708

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
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

115 S Lynchburg St Ste E
Chestertown, MD 21620-1198

Mailing address

115 S Lynchburg St Ste E
Chestertown, MD 21620-1198
Phone (443) 331-4708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210520003081 MD Part B Supplier - Clinic/Group Practice 6103225370 Receives reassigned benefits from 3 practitioners
Practice locations: Chestertown, MD

National Provider Directory

National Provider Directory

Locations

115 S Lynchburg St
Ste E
Chestertown, MD 21620
Phone (443) 331-4708

Practitioners & affiliated clinicians

Practitioners 7

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": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1144816216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S LYNCHBURG ST STE E",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201198",
            "telephone_number": "443-331-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S LYNCHBURG ST STE E",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201198",
            "telephone_number": "443-331-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERING SERENITY COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "DEMATTIA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-331-4708"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.