NPIMap

Organization Active NPI

Serenity Christian Counseling

  • Professional Counselor
  • Fostoria, OH
National Provider Identifier
1316432636
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SERENITY CHRISTIAN COUNSELING
Practice address
125 S Main St Ste 305
Fostoria, OH 44830-2361
Phone
(567) 429-1000
Fax
(419) 436-7460
NPI assigned
Jun 28, 2018
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Vinay Kumar Mandhala
Title
Ceo
Phone
(512) 438-9453

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.1800504 OH
Professional Counselor 101YP2500X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

125 S Main St Ste 305
Fostoria, OH 44830-2361

Mailing address

125 S Main St Ste 305
Fostoria, OH 44830-2361
Phone (567) 249-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250421002770 OH Part B Supplier - Clinic/Group Practice 6305368283 Receives reassigned benefits from 9 practitioners
2 other NPIs on this enrollment
Practice locations: Fostoria, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Serenity Christian Counseling3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

205 W Lytle St
Fostoria, OH 44830

Practitioners & affiliated clinicians

Practitioners 9

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": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1316432636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S MAIN ST STE 305",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448302361",
            "telephone_number": "567-249-1000",
            "fax_number": "419-436-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S MAIN ST STE 305",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448302361",
            "telephone_number": "567-429-1000",
            "fax_number": "419-436-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "MANDHALA",
        "authorized_official_first_name": "VINAY",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-438-9453"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1800504",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fostoria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.