Serenity Psychotherapy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SERENITY PSYCHOTHERAPY, LLC

Practice address

3210 Churchland Blvd Ste 2
Chesapeake, VA 23321-5253

Phone

(757) 966-2162

NPI assigned

Jun 17, 2019

Last updated

Jun 17, 2019By 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

Mercedes Santos-BellNPI 1003593187

Title

Director

Phone

(917) 406-6763

Specialties & licenses 1

Addresses

Other names 1

• Serenity Other name

Electronic endpoints 1

Locations

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.

• Mercedes Santos-Bell, LPC

  • Mental Health Counselor
  • Chesapeake, VA
  • NPI 1003593187
  NPD Authorized official

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1427618081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 CHURCHLAND BLVD STE 2",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215253",
            "telephone_number": "757-966-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 CHURCHLAND BLVD STE 2",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215253",
            "telephone_number": "757-966-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "SANTOS-BELL",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-406-6763"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "msantosbell@envisionfamilyservices.com",
            "affiliation": "N",
            "address_1": "3210 Churchland Blvd Ste 2",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233215253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Serenity",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.