NPIMap

Organization Active NPI

Serenity Counseling LLC

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1225438112
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0004707 Issued in OH
Legal business name
SERENITY COUNSELING LLC
Practice address
20 Northwoods Blvd
Suite B1
Columbus, OH 43235-4729
Phone
(614) 876-1067
Fax
(614) 777-7366
NPI assigned
Aug 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Susan M Dindal, LISW
Title
Owner
Phone
(614) 876-1067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I0004707 OH Primary

Addresses

Primary practice location

20 Northwoods Blvd
Suite B1
Columbus, OH 43235-4729

Mailing address

PO Box 1557
Reynoldsburg, OH 43068-6557
Phone (614) 876-1067

National Provider Directory

National Provider Directory

Locations

20 Northwoods Blvd
Ste B1
Columbus, OH 43235
Phone (614) 208-4384

3958 Brown Park Dr
Ste C
Hilliard, OH 43026
Phone (604) 876-1067

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1225438112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1557",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430686557",
            "telephone_number": "614-876-1067",
            "fax_number": "614-777-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NORTHWOODS BLVD",
            "address_2": "SUITE B1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354729",
            "telephone_number": "614-876-1067",
            "fax_number": "614-777-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "DINDAL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-876-1067",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0004707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.