NPIMap

Organization Active NPI

Serenity Behavioral Health Services

  • Clinical Social Worker
  • Westerville, OH
National Provider Identifier
1275920134
Registry record updated Apr 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.1101184 Issued in OH
Legal business name
SERENITY BEHAVIORAL HEALTH SERVICES
Practice address
623 Park Meadow Rd Ste H
Westerville, OH 43081-2876
Phone
(614) 774-1120
Fax
(855) 740-2025
NPI assigned
Apr 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2015

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

Authorized official

Name
Ms. Mary K Wright, LISW-SNPI 1083761597
Title
Ceo and Clinical Therapist
Phone
(614) 774-1120

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 WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X S.1101184 OH Primary

Addresses

Primary practice location

623 Park Meadow Rd Ste H
Westerville, OH 43081-2876

Mailing address

623 Park Meadow Rd Ste H
Westerville, OH 43081-2876
Phone (614) 774-1120

National Provider Directory

National Provider Directory
Tax ID family
Serenity Behavioral Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1429315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429315200000",
    "number": "1275920134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 PARK MEADOW RD STE H",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812876",
            "telephone_number": "614-774-1120",
            "fax_number": "855-740-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 PARK MEADOW RD STE H",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812876",
            "telephone_number": "614-774-1120",
            "fax_number": "855-740-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-18",
        "last_updated": "2015-04-18",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO AND CLINICAL THERAPIST",
        "authorized_official_telephone_number": "614-774-1120",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1101184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2015; 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.