Organization Active NPI

Serene Solutions

  • Professional Counselor
  • Portage, MI
National Provider Identifier
1326545260
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401010617 Issued in MI
Legal business name
SERENE SOLUTIONS
Practice address
1125 E Milham Ave Ste B
Portage, MI 49002-3096
Phone
(269) 312-1446
NPI assigned
Apr 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Karen C AlvarezNPI 1831451608
Title
Owner
Phone
(269) 312-1446

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: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 6401010617 MI Primary

Addresses

Primary practice location

1125 E Milham Ave Ste B
Portage, MI 49002-3096

Mailing address

PO Box 2174
Kalamazoo, MI 49003-2174
Phone (269) 312-1446

Other practice location 1

4341 S Westnedge Ave Ste 1106
Kalamazoo, MI 49008-3283
Phone (269) 303-2521

Other practice location 2

3100 W Ray Rd Ste 201
Chandler, AZ 85226-2472
Phone (269) 312-1446

Other identifiers 1

IdentifierTypeStateIssuer
1326545260MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200505000744 MI Part B Supplier - Clinic/Group Practice 0042641136 Receives reassigned benefits from 26 practitioners
Practice locations: Kalamazoo, MI; Portage, MI
O20240801000935 AZ Part B Supplier - Clinic/Group Practice 0042641136 Receives reassigned benefits from 4 practitioners
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Locations

4341 S Westnedge Ave
Ste 1106
Kalamazoo, MI 49008
Phone (269) 312-1446

1125 E Milham Ave
Ste B
Portage, MI 49002
Phone (269) 312-1446

576 Romence Rd
Ste 226
Portage, MI 49024
Phone (269) 329-2980

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1523145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1326545260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2174",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490032174",
            "telephone_number": "269-312-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E MILHAM AVE STE B",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490023096",
            "telephone_number": "269-312-1446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4341 S Westnedge Ave Ste 1106",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490083283",
            "country_code": "US",
            "telephone_number": "269-303-2521",
            "fax_number": "269-775-1079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 W Ray Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852262472",
            "country_code": "US",
            "telephone_number": "269-312-1446",
            "fax_number": "269-225-6949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-08",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-312-1446"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401010617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326545260",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.