NPIMap

Organization Active NPI

Hope & Serenity Health Services

  • Clinical Social Worker
  • Winter Park, FL
National Provider Identifier
1245726827
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15080 Issued in FL
Legal business name
HOPE & SERENITY HEALTH SERVICES
Practice address
1400 S Orlando Ave Ste 320
Winter Park, FL 32789-5543
Phone
(407) 308-0345
Fax
(689) 204-1475
NPI assigned
Jul 6, 2018
Last updated
Dec 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Dr. Tameca N Harris-Jackson, PHD, LCSW, CSENPI 1437373594
Title
Founder & Director
Phone
(407) 308-0345

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
Clinical Social Worker 1041C0700X SW15080 FL Primary

Addresses

Primary practice location

1400 S Orlando Ave Ste 320
Winter Park, FL 32789-5543

Mailing address

1400 S Orlando Ave Ste 320
Winter Park, FL 32789-5543
Phone (407) 308-0345

Other practice location 1

1511 Madison Ivy Cir
Apopka, FL 32712-4430
Phone (443) 310-2421

National Provider Directory

National Provider Directory

Locations

706 Turnbull Ave
Ste 202
Altamonte Springs, FL 32701
Phone (407) 260-2010

1035 S Semoran Blvd
Ste 1047
Winter Park, FL 32792
Phone (321) 746-3889

Practitioners & affiliated clinicians

Practitioners 5

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": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1245726827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S ORLANDO AVE STE 320",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895543",
            "telephone_number": "407-308-0345",
            "fax_number": "689-204-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S ORLANDO AVE STE 320",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895543",
            "telephone_number": "407-308-0345",
            "fax_number": "689-204-1475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1511 Madison Ivy Cir",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327124430",
            "country_code": "US",
            "telephone_number": "443-310-2421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOPE & SERENITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS-JACKSON",
        "authorized_official_first_name": "TAMECA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "FOUNDER & DIRECTOR",
        "authorized_official_telephone_number": "407-308-0345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW, CSE"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.