Inner Serenity Counseling LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

INNER SERENITY COUNSELING LLC

Doing business as

Inner Serenity Counseling

Practice address

7545 Centurion Pkwy Ste 206
Jacksonville, FL 32256-4119

Phone

(904) 683-0418

Fax

(904) 595-6815

NPI assigned

Jan 15, 2021

Last updated

Jan 15, 2021By 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

Raja Bashiti, LMHC

Title

Owner

Phone

(904) 683-0418

Specialties & licenses 1

Addresses

Other names 1

• Inner Serenity Counseling Doing business as

Locations

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1164011979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 CENTURION PKWY STE 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564119",
            "telephone_number": "904-683-0418",
            "fax_number": "904-595-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 CENTURION PKWY STE 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564119",
            "telephone_number": "904-683-0418",
            "fax_number": "904-595-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER SERENITY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "BASHITI",
        "authorized_official_first_name": "RAJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-683-0418",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Serenity Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.