Organization Active NPI

Serenity Hill Counseling & Wellness LLC

  • Clinical Social Worker
  • Connellsville, PA
National Provider Identifier
1235804998
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SERENITY HILL COUNSELING & WELLNESS LLC
Practice address
2787 Memorial Blvd Unit 2
Connellsville, PA 15425-1422
Phone
(724) 603-2647
NPI assigned
Aug 13, 2021
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Kristyn Billings
Title
Credentialing
Phone
(412) 655-4362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2787 Memorial Blvd Unit 2
Connellsville, PA 15425-1422

Mailing address

116 Memorial St
Dunbar, PA 15431-1622
Phone (724) 603-2657

Other identifiers 1

IdentifierTypeStateIssuer
PC009988OtherPASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211006002703 PA Part B Supplier - Clinic/Group Practice 5597163469 Receives reassigned benefits from 2 practitioners
Practice locations: Connellsville, PA

National Provider Directory

National Provider Directory

Locations

2787 Memorial Blvd
Unit 2
Connellsville, PA 15425
Phone (724) 603-2647

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1235804998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MEMORIAL ST",
            "city": "DUNBAR",
            "state": "PA",
            "postal_code": "154311622",
            "telephone_number": "724-603-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2787 MEMORIAL BLVD UNIT 2",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154251422",
            "telephone_number": "724-603-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HILL COUNSELING & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "BILLINGS",
        "authorized_official_first_name": "KRISTYN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "412-655-4362"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PC009988",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.