Organization Active NPI

Serenity Through Enrichment Psychological Services, LLC

  • Clinical Psychologist
  • Oakton, VA
National Provider Identifier
1184056517
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004790 Issued in VA
Legal business name
SERENITY THROUGH ENRICHMENT PSYCHOLOGICAL SERVICES, LLC
Practice address
2915 Hunter Mill Rd
Suite 14
Oakton, VA 22124-1716
Phone
(571) 723-2321
NPI assigned
Aug 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Dr. Nakia Perry-Goffney, PSYD, MA
Title
Licensed Clinical Psychologist
Phone
(571) 723-2321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0810004790 VA Primary

Addresses

Primary practice location

2915 Hunter Mill Rd
Suite 14
Oakton, VA 22124-1716

Mailing address

2915 Hunter Mill Rd
Suite 14
Oakton, VA 22124-1716
Phone (571) 723-2321

National Provider Directory

National Provider Directory

Locations

2915 Hunter Mill Rd
Ste 14
Oakton, VA 22124
Phone (703) 732-1234

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1184056517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 HUNTER MILL RD",
            "address_2": "SUITE 14",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241716",
            "telephone_number": "571-723-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 HUNTER MILL RD",
            "address_2": "SUITE 14",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241716",
            "telephone_number": "571-723-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY THROUGH ENRICHMENT PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "PERRY-GOFFNEY",
        "authorized_official_first_name": "NAKIA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "571-723-2321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, MA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.