NPIMap

Organization Active NPI

Serenity Family and Individual Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wadsworth, OH
National Provider Identifier
1417506965
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SERENITY FAMILY AND INDIVIDUAL COUNSELING LLC
Practice address
180 High St Ste D
Wadsworth, OH 44281-1874
Phone
(330) 331-9203
NPI assigned
Sep 7, 2019
Last updated
Mar 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Mrs. Shea Laree Beris, IMFT, LPCC-SNPI 1356851273
Title
Owner/Therapist
Phone
(330) 304-2387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

180 High St Ste D
Wadsworth, OH 44281-1874

Mailing address

180 High St Ste D
Wadsworth, OH 44281-1874
Phone (330) 331-9203

Other practice location 1

273 Main St Ste 345
Wadsworth, OH 44281-1489
Phone (330) 331-9203

National Provider Directory

National Provider Directory

Locations

180 High St
Ste D
Wadsworth, OH 44281
Phone (234) 266-0203

273 Main St
Ste 345
Wadsworth, OH 44281
Phone (330) 331-9203

Practitioners & affiliated clinicians

Practitioners 6

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": "1567814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1417506965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 HIGH ST STE D",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811874",
            "telephone_number": "330-331-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 HIGH ST STE D",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811874",
            "telephone_number": "330-331-9203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "273 Main St Ste 345",
            "address_purpose": "LOCATION",
            "city": "Wadsworth",
            "state": "OH",
            "postal_code": "442811489",
            "country_code": "US",
            "telephone_number": "330-331-9203",
            "fax_number": "234-200-0584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY FAMILY AND INDIVIDUAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-07",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "BERIS",
        "authorized_official_first_name": "SHEA",
        "authorized_official_middle_name": "LAREE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "330-304-2387",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "IMFT, LPCC-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.