Organization Active NPI

Serenity Helping Hands Therapy Center, LLC

  • Community/Behavioral Health Agency
  • Odenton, MD
National Provider Identifier
1376914606
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
16065 Issued in MD
Legal business name
SERENITY HELPING HANDS THERAPY CENTER, LLC
Practice address
308 Gatehouse Lane
Odenton, MD 21113-2689
Phone
(443) 214-8221
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Ms. Angela Marie Boone, MSW, LCSW-C
Title
Ceo/Founder
Phone
(443) 214-8221

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Community/Behavioral Health Agency 251S00000X 16065 MD Primary

Addresses

Primary practice location

308 Gatehouse Lane
Odenton, MD 21113-2689

Mailing address

PO Box 56
Odenton, MD 21113-0056
Phone (443) 214-8221

Other identifiers 1

IdentifierTypeStateIssuer
420583900MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1376914606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211130056",
            "telephone_number": "443-214-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 GATEHOUSE LANE",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132689",
            "telephone_number": "443-214-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HELPING HANDS THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "443-214-8221",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "16065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420583900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.