Organization Active NPI

Serenity Therapy, LLC

  • Mental Health Counselor
  • Dubuque, IA
National Provider Identifier
1558908418
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SERENITY THERAPY, LLC
Practice address
210 Jones St Ste 200
Dubuque, IA 52001-7615
Phone
(563) 557-6869
Fax
(563) 334-7989
NPI assigned
Dec 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Amber M TeubertNPI 1245586544
Title
Owner/Counselor
Phone
(563) 557-6869

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

210 Jones St Ste 200
Dubuque, IA 52001-7615

Mailing address

210 Jones St Ste 200
Dubuque, IA 52001-7615
Phone (563) 557-6869

Other identifiers 2

IdentifierTypeStateIssuer
100098925MedicaidWI
0224917MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.serenitytherapyLLC.com

National Provider Directory

National Provider Directory

Locations

799 Main St
Ste 350
Dubuque, IA 52001
Phone (563) 557-6870

210 Jones St
Ste 200
Dubuque, IA 52001
Phone (563) 557-6869

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": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1558908418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JONES ST STE 200",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017615",
            "telephone_number": "563-557-6869",
            "fax_number": "563-334-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JONES ST STE 200",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017615",
            "telephone_number": "563-557-6869",
            "fax_number": "563-334-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "TEUBERT",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "563-557-6869"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098925",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0224917",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.serenitytherapyLLC.com",
            "affiliation": "N",
            "address_1": "210 Jones St Ste 200",
            "city": "Dubuque",
            "state": "IA",
            "country_code": "US",
            "postal_code": "520017615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.