Organization Active NPI

Serene Trails Therapy LLC

  • Clinical Social Worker
  • Greenacres, FL
National Provider Identifier
1548890825
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SERENE TRAILS THERAPY LLC
Practice address
6803 Lake Worth Rd Ste 215
Greenacres, FL 33467-2979
Phone
(561) 335-6658
NPI assigned
Jan 25, 2020
Last updated
Sep 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Brittany Rice, LCSWNPI 1417506429
Title
Owner
Phone
(561) 335-6658

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

6803 Lake Worth Rd Ste 215
Greenacres, FL 33467-2979

Mailing address

6803 Lake Worth Rd Ste 215
Greenacres, FL 33467-2979
Phone (561) 335-6658

Other identifiers 1

IdentifierTypeStateIssuer
1417506429OtherNPI 1

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Serenetrailstherapy.com Direct

National Provider Directory

National Provider Directory

Locations

6803 Lake Worth Rd
Ste 215
Greenacres, FL 33467
Phone (561) 207-7625

8461 Lake Worth Rd
Ste 160
Lake Worth, FL 33467

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": "1579910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1548890825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 LAKE WORTH RD STE 215",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672979",
            "telephone_number": "561-335-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6803 LAKE WORTH RD STE 215",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672979",
            "telephone_number": "561-335-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE TRAILS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-25",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-335-6658",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1417506429",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Serenetrailstherapy.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6803 Lake Worth Rd Ste 215",
            "city": "Greenacres",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334672979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.