Organization Active NPI

Serenity Counseling, LLC

  • Clinical Social Worker
  • Chattanooga, TN
National Provider Identifier
1336688605
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6284 Issued in TN
Legal business name
SERENITY COUNSELING, LLC
Practice address
101 Jordan Dr
Chattanooga, TN 37421-6732
Phone
(423) 510-1999
Fax
(423) 510-1888
NPI assigned
Feb 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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

Authorized official

Name
Sarah O'Keefe, LCSWNPI 1457622581
Title
Owner
Phone
(952) 237-3185

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6284 TN Primary

Addresses

Primary practice location

101 Jordan Dr
Chattanooga, TN 37421-6732

Mailing address

101 Jordan Dr
Chattanooga, TN 37421-6732
Phone (423) 510-1999

Other practice location 1

8680 Skybrook Dr
Ooltewah, TN 37363-1433
Phone (952) 237-3185

Other identifiers 1

IdentifierTypeStateIssuer
Q025980MedicaidTN

National Provider Directory

National Provider Directory

Locations

101 Jordan Dr
Chattanooga, TN 37421
Phone (423) 316-5409

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": "1487462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1336688605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JORDAN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216732",
            "telephone_number": "423-510-1999",
            "fax_number": "423-510-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JORDAN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216732",
            "telephone_number": "423-510-1999",
            "fax_number": "423-510-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8680 Skybrook Dr",
            "address_purpose": "LOCATION",
            "city": "Ooltewah",
            "state": "TN",
            "postal_code": "373631433",
            "country_code": "US",
            "telephone_number": "952-237-3185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-19",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "O'KEEFE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-237-3185",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q025980",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.