Serenity Counseling and Wellness

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

SERENITY COUNSELING AND WELLNESS

Practice address

1602 W Colonial Pkwy Ste 200
Inverness, IL 60067-1215

Phone

(847) 364-0163

NPI assigned

Mar 25, 2021

Last updated

Nov 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristen Christensen, LCSWNPI 1043799646

Title

Owner

Phone

(847) 364-0163

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 7

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.

• Kristen Christensen

  • Clinical Social Worker
  • Inverness, IL
  • NPI 1043799646
  Medicare reassignment NPD Authorized official
• Aysha Azimuddin

  • Psychologist
  • Inverness, IL
  • NPI 1366822983
  NPD
• Grace Domzalski

  • Clinical Psychologist
  • Inverness, IL
  • NPI 1992285647
  NPD
• Denise Rosas, LCSW, CADC

  • Clinical Social Worker
  • Inverness, IL
  • NPI 1619791654
  NPD
• Bruce N. Christensen, PH.D.

  • Clinical Psychologist
  • Schaumburg, IL
  • NPI 1235106253
  NPD (past)
• Andrew Moses

  • Clinical Social Worker
  • Inverness, IL
  • NPI 1821945171
  NPD (past)
• Christine Swanson, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Inverness, IL
  • NPI 1225465305
  NPD (past)

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1164009338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 W COLONIAL PKWY STE 200",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600671215",
            "telephone_number": "847-364-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W COLONIAL PKWY STE 200",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600671215",
            "telephone_number": "847-364-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-364-0163",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loay J Sandouka, PSYD
• Amanda Saylor, SLP
• Leonard Schmelkin, MSSW
• Sheila Schmidt, CADC
• Chelsie Rene' Scoggin-Chang, LCPC
• Claudia M Skowron, LCPC
• Bradley G Small, PSY.D.
• Regina Snavlin
• Lonnie J Sommer
• Elena Rose Sorrentino

• Group Psychotherapy Psychologist in Inverness, IL
• Providers in Inverness, IL by specialty
• Group Psychotherapy Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.