Organization Active NPI

Serenity Counseling PLLC

  • Counselor
  • Vernon Hills, IL
National Provider Identifier
1336720846
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
SERENITY COUNSELING PLLC
Practice address
977 Lakeview Pkwy Ste 102
Vernon Hills, IL 60061-1444
Phone
(847) 732-4510
NPI assigned
Apr 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Fran Griseta, BILLING SERVICE
Title
Owner
Phone
(847) 985-0881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

977 Lakeview Pkwy Ste 102
Vernon Hills, IL 60061-1444

Mailing address

1987 Wilshire CT
Buffalo Grove, IL 60089-8004
Phone (847) 732-4510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210527002393 IL Part B Supplier - Clinic/Group Practice 6507265311 Receives reassigned benefits from 1 practitioner
Practice locations: Libertyville, IL

National Provider Directory

National Provider Directory

Locations

1580 S Milwaukee Ave
Ste 305
Libertyville, IL 60048
Phone (847) 680-0755

977 Lakeview Pkwy
Ste 102
Vernon Hills, IL 60061
Phone (847) 549-1023

Practitioners & affiliated clinicians

Practitioners 2

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": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1336720846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 WILSHIRE CT",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600898004",
            "telephone_number": "847-732-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 LAKEVIEW PKWY STE 102",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611444",
            "telephone_number": "847-732-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "GRISETA",
        "authorized_official_first_name": "FRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-985-0881",
        "authorized_official_credential": "BILLING SERVICE"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.