NPIMap

Organization Active NPI

Serenvive Wellness, LLC

  • Professional Counselor
  • Lanham, MD
National Provider Identifier
1285516880
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SERENVIVE WELLNESS, LLC
Practice address
4221 Forbes Blvd Ste 220
Lanham, MD 20706-4820
Phone
(443) 252-3856
NPI assigned
Jul 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Ms. Kisha M GaskinsNPI 1932916822
Title
Owner
Phone
(443) 252-3856

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 Primary

Addresses

Primary practice location

4221 Forbes Blvd Ste 220
Lanham, MD 20706-4820

Mailing address

4221 Forbes Blvd Ste 220
Lanham, MD 20706-4820
Phone (443) 252-3856

National Provider Directory

National Provider Directory

Locations

4221 Forbes Blvd
Ste 220
Lanham, MD 20706
Phone (443) 252-3856

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": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1285516880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 FORBES BLVD STE 220",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064820",
            "telephone_number": "443-252-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 FORBES BLVD STE 220",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064820",
            "telephone_number": "443-252-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENVIVE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "KISHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-252-3856",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.