Active NPI
Serenita Wellness LLC
- Clinical Social Worker
- Seymour, CT
National Provider Identifier
1568007474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SERENITA WELLNESS LLC
- Practice address
- 100 Bank St Ste 104
Seymour, CT 06483-2806 - Phone
- (203) 828-0704
- NPI assigned
- Nov 14, 2019
- Last updated
- Feb 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Trinci, CEO
- Title
- Managing Partner
- Phone
- (203) 278-6042
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Psychologist | 103TC0700X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
100 Bank St Ste 104
Seymour, CT 06483-2806
Mailing address
151 S Main St
Seymour, CT 06483-3346
Other practice location 1
151 S Main St # SS
Seymour, CT 06483-3346
Phone (203) 278-6042
Other practice location 2
4 Research Dr
Shelton, CT 06484-6280
Phone (203) 828-0704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17 Westerman Ave
Ste 2
Seymour, CT 06483
Phone (203) 828-0704
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Clinical Social Worker
- Shelton, CT
- NPI 1619563020
-
- Clinical Social Worker
- Seymour, CT
- NPI 1417328634
-
- Psychiatry Physician
- Steamboat Springs, CO
- NPI 1730232398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676419200000",
"number": "1568007474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 S MAIN ST",
"city": "SEYMOUR",
"state": "CT",
"postal_code": "064833346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BANK ST STE 104",
"city": "SEYMOUR",
"state": "CT",
"postal_code": "064832806",
"telephone_number": "203-828-0704"
}
],
"practiceLocations": [
{
"address_1": "151 S Main St # SS",
"address_purpose": "LOCATION",
"city": "Seymour",
"state": "CT",
"postal_code": "064833346",
"country_code": "US",
"telephone_number": "203-278-6042",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4 Research Dr",
"address_purpose": "LOCATION",
"city": "Shelton",
"state": "CT",
"postal_code": "064846280",
"country_code": "US",
"telephone_number": "203-828-0704",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SERENITA WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-14",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A",
"authorized_official_last_name": "TRINCI",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "203-278-6042",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, CT
- Frederick Wayne Rohwedder, DMD
- Olga Romanovsky, O.D.
- Frederick Rooney, BCBA, LBA-NY, LBA-CT
- Route 67 Family Dentistry
- Elizabeth Schenker, LCSW
- Seybridge Pharmacy Inc (Seybridge Pharmacy)
- Seybridge Pharmacy Inc (Seybridge Pharmacy)
- Seymour Ambulance Association Inc
- Seymour Optometric Center, LLC
- Shady Knoll Acquisition Operator LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.