Serenity Mental Health Counseling, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SERENITY MENTAL HEALTH COUNSELING, PLLC

Practice address

24W788 75TH St
Naperville, IL 60565-1684

Phone

(516) 220-5839

NPI assigned

Sep 19, 2022

Last updated

Sep 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly EisnerNPI 1467771782

Title

Owner

Phone

(631) 707-3068

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kelly Ann Eisner, LCPC, LMHC, LPC

  • Professional Counselor
  • Naperville, IL
  • NPI 1467771782
  NPD Authorized official

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1316660046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 LEACH DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648906",
            "telephone_number": "631-707-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24W788 75TH ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605651684",
            "telephone_number": "516-220-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "EISNER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-707-3068"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Serafin, PT, DPT
• Sally P Seraphin, M.D.
• Corinne Ann Serdena, PHARMD, RPH
• Maria Serembytska
• Serendestiny Enterprise LLC
• Jackie A Serna, MS
• Ariel Sernek, DPT
• Serpe Chiropractic Clinic
• Joseph M. Serpe, DC
• Louis C Serpico Jr., MD

• Professional Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.