Serenity Keepers

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SERENITY KEEPERS

Practice address

2033 Daniel CT Apt 1
Lexington, KY 40504-1837

Phone

(859) 551-5358

NPI assigned

Mar 27, 2020

Last updated

Feb 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nikki Corbin

Title

Ceo

Phone

(704) 605-0927

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Delores Jordan

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
  • NPI 1023628849
  NPD

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1396373304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 DANIEL CT APT 1",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041837",
            "telephone_number": "859-693-2719",
            "fax_number": "859-368-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 DANIEL CT APT 1",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041837",
            "telephone_number": "859-551-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY KEEPERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-605-0927"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sensibel Hearing Centers
• Michelle Y Sentelle, APRN
• Yasodara Priyadharsi Senthamarai Siddharthan, MBBS
• Kyeongjun Seok, MA, ATC
• Matthew Sepulveda
• Serenity Recovery Center of Dayton LLC
• Patrick J Serey, MD
• Courtney Brooke Sergent-Fox
• Emmy Lee Sergent
• Susan Marie Sergent, PA

• Adult Mental Health Clinic/Center in Lexington, KY
• Providers in Lexington, KY by specialty
• Adult Mental Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.