NPIMap

Organization Active NPI

Serenity Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eagan, MN
National Provider Identifier
1356196687
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SERENITY BEHAVIORAL HEALTH LLC
Practice address
3470 Washington Dr Ste 206
Eagan, MN 55122-1354
Phone
(651) 505-9911
NPI assigned
Apr 19, 2024
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Shukri Bashir, MA, LPCCNPI 1184359887
Title
Executive Director
Phone
(651) 505-9911

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

3470 Washington Dr Ste 206
Eagan, MN 55122-1354

Mailing address

3470 Washington Dr Ste 206
Eagan, MN 55122-1354
Phone (651) 505-9911

National Provider Directory

National Provider Directory

Locations

3470 Washington Dr
Ste 206
Eagan, MN 55122
Phone (651) 505-9911

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1356196687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 WASHINGTON DR STE 206",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221354",
            "telephone_number": "651-505-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 WASHINGTON DR STE 206",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221354",
            "telephone_number": "651-505-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "BASHIR",
        "authorized_official_first_name": "SHUKRI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-505-9911",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.