Individual provider Active NPI

Serenity Grace Michelle Silvers, LPCC, LADC

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1386274223
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3629 Issued in MN
Practice address
1619 Dayton Ave Ste 325
Saint Paul, MN 55104-6495
Phone
(763) 228-4752
NPI assigned
Jan 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 305765 MN
Mental Health Counselor 101YM0800X 3629 MN Primary

Addresses

Primary practice location

1619 Dayton Ave Ste 325
Saint Paul, MN 55104-6495

Mailing address

48623 Lake Ave
McGregor, MN 55760-4526
Phone (651) 419-6960

Other practice location 1

48623 Lake Ave
McGregor, MN 55760-4526
Phone (651) 419-6960

Other identifiers 2

IdentifierTypeStateIssuer
305765OtherMNLICENSED ALCOHOL AND DRUG COUNSELOR
3629OtherMNLICENSED PROFESSIONAL CLINICAL COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
305765MNMDAddiction (Substance Use Disorder) Counselor
3629MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy With Serenity Mental Health Current Accepting new patients
Asset Clinic PastSince Jan 1, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1386274223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48623 LAKE AVE",
            "city": "MCGREGOR",
            "state": "MN",
            "postal_code": "557604526",
            "telephone_number": "651-419-6960",
            "fax_number": "651-560-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 DAYTON AVE STE 325",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046495",
            "telephone_number": "763-228-4752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48623 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "McGregor",
            "state": "MN",
            "postal_code": "557604526",
            "country_code": "US",
            "telephone_number": "651-419-6960",
            "fax_number": "651-560-3898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVERS",
        "first_name": "SERENITY",
        "middle_name": "GRACE MICHELLE",
        "credential": "LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305765",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "3629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ALCOHOL AND DRUG COUNSELOR",
            "identifier": "305765",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL CLINICAL COUNSELOR",
            "identifier": "3629",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.