NPIMap

Organization Active NPI

Serenity Counseling & Mediation Center

  • Professional Counselor
  • Gallatin, TN
National Provider Identifier
1386175545
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SERENITY COUNSELING & MEDIATION CENTER
Practice address
563 S Water Ave Ste E
Gallatin, TN 37066-6312
Phone
(615) 527-3060
NPI assigned
Mar 21, 2017
Last updated
May 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Mrs. Christian L. Cid
Title
Chief Executive Officeer
Phone
(615) 527-3060

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X Primary
Clinical Psychologist 103TC0700X
Intellectual & Developmental Disabilities Psychologist 103TM1800X
Group Psychotherapy Psychologist 103TP2701X
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

563 S Water Ave Ste E
Gallatin, TN 37066-6312

Mailing address

563 S Water Ave Ste E
Gallatin, TN 37066-6312
Phone (615) 527-3060

National Provider Directory

National Provider Directory

Locations

537 Blythe Ave
Gallatin, TN 37066
Phone (615) 327-3060

563 S Water Ave
Ste E
Gallatin, TN 37066
Phone (615) 527-3060

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1386175545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 S WATER AVE STE E",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666312",
            "telephone_number": "615-527-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 S WATER AVE STE E",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666312",
            "telephone_number": "615-527-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COUNSELING & MEDIATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "CID",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICEER",
        "authorized_official_telephone_number": "615-527-3060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.