Organization Active NPI

Serenitee Counseling & Community Services, LLC

Doing business as Serenitee Counseling & Community

  • Professional Counselor
  • Taylors, SC
National Provider Identifier
1477126514
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SERENITEE COUNSELING & COMMUNITY SERVICES, LLC
Doing business as
Serenitee Counseling & Community
Practice address
3575 Rutherford Road Ext Ste B
Taylors, SC 29687-2168
Phone
(864) 243-8097
NPI assigned
Jul 16, 2021
Last updated
Jul 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Authorized official

Name
Ms. Teresa Thompson, LPCNPI 1295191765
Title
Director
Phone
(864) 243-8097

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
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

3575 Rutherford Road Ext Ste B
Taylors, SC 29687-2168

Mailing address

3575 Rutherford Road Ext Ste B
Taylors, SC 29687-2168
Phone (864) 243-8097

Other identifiers 1

IdentifierTypeStateIssuer
421504MedicaidSC

Other names 1

  • Serenitee Counseling & Community Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Serenitee318@yahoo.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1477126514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 RUTHERFORD ROAD EXT STE B",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872168",
            "telephone_number": "864-243-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 RUTHERFORD ROAD EXT STE B",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872168",
            "telephone_number": "864-243-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITEE COUNSELING & COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "864-243-8097",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421504",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Serenitee318@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3575 Rutherford Road Ext Ste B",
            "city": "Taylors",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296872168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Serenitee Counseling & Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylors, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.