Individual provider Active NPI

Serenity Grace Michelle Silvers, LPCC, LADC

  • Mental Health Counselor
  • McGregor, MN
National Provider Identifier
1386274223
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3629 Issued in MN
Practice address
48623 Lake Ave
McGregor, MN 55760-4526
Phone
(651) 419-6960
Fax
(651) 560-3898
NPI assigned
Jan 20, 2020
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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

48623 Lake Ave
McGregor, MN 55760-4526

Mailing address

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

Other practice location 1

1619 Dayton Ave Ste 325
Saint Paul, MN 55104-6495
Phone (763) 228-4752

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
305765MNMDAddiction (Substance Use Disorder) Counselor
3629MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy With Serenity Mental Health CurrentSince Sep 1, 2026 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1789516800000",
    "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": "48623 LAKE AVE",
            "city": "MCGREGOR",
            "state": "MN",
            "postal_code": "557604526",
            "telephone_number": "651-419-6960",
            "fax_number": "651-560-3898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1619 Dayton Ave Ste 325",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551046495",
            "country_code": "US",
            "telephone_number": "763-228-4752",
            "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": "2026-09-16",
        "certification_date": "2026-09-16",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McGregor, MN

Sources for this page

Verify at the official NPI Registry.