Active NPI
Serenity Grove Behavioral Health
- Mental Health Counselor
- Montclair, NJ
National Provider Identifier
1336038561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SERENITY GROVE BEHAVIORAL HEALTH
- Practice address
- 127 Pine St
Montclair, NJ 07042-4855 - Phone
- (973) 536-1249
- NPI assigned
- Jul 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawn Jennings
- Title
- Owner
- Phone
- (973) 200-1508
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
127 Pine St
Montclair, NJ 07042-4855
Mailing address
127 Pine St
Montclair, NJ 07042-4855
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Belleville, NJ
- NPI 1770263923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751328000000",
"number": "1336038561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 PINE ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 PINE ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424855",
"telephone_number": "973-536-1249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY GROVE BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A",
"authorized_official_last_name": "JENNINGS",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-200-1508"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.