Active NPI
Serenity Counseling, LLC
- Clinical Social Worker
- Chattanooga, TN
National Provider Identifier
1336688605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6284
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah O'Keefe, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q025980 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Chattanooga, TN
- NPI 1457622581
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.