Organization Active NPI

Serenity Point Counseling LLC

  • Professional Counselor
  • Meadville, PA
National Provider Identifier
1215475694
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC007048 Issued in PA
Legal business name
SERENITY POINT COUNSELING LLC
Practice address
312 Chestnut St Ste 113
Meadville, PA 16335-3206
Phone
(814) 795-4034
NPI assigned
Feb 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Christine McWilliams, LPCNPI 1245636059
Title
Licensed Professional Counselor
Phone
(814) 795-4034

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X PC007048 PA Primary

Addresses

Primary practice location

312 Chestnut St Ste 113
Meadville, PA 16335-3206

Mailing address

312 Chestnut St Ste 113
Meadville, PA 16335-3206
Phone (814) 795-4034

Other identifiers 2

IdentifierTypeStateIssuer
PC007048OtherPASTATE LICENSE LPC
1245636059OtherPANPI PROVIDER INDIVIDUAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240105001150 PA Part B Supplier - Clinic/Group Practice 5294186078 Receives reassigned benefits from 1 practitioner
Practice locations: Meadville, PA

National Provider Directory

National Provider Directory

Locations

312 Chestnut St
Ste 113
Meadville, PA 16335
Phone (814) 795-4034

Practitioners & affiliated clinicians

Practitioners 1

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": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1215475694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CHESTNUT ST STE 113",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353206",
            "telephone_number": "814-795-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 CHESTNUT ST STE 113",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353206",
            "telephone_number": "814-795-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY POINT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "814-795-4034",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE LPC",
            "identifier": "PC007048",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PROVIDER INDIVIDUAL",
            "identifier": "1245636059",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.