Serenity Xcelled Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SERENITY XCELLED COUNSELING LLC

Practice address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Phone

(813) 501-3124

Fax

(813) 492-2195

NPI assigned

Apr 14, 2022

Last updated

Jul 27, 2023By 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

Demetric Watkins, MA, LMHCNPI 1891316667

Title

Ceo/Founder

Phone

(813) 501-3124

Specialties & licenses 1

Addresses

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: info@serenityxcelledcounseling.com

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.

• Demetric Watkins, LMHC

  • Mental Health Counselor
  • St Petersburg, FL
  • NPI 1891316667
  NPD Authorized official

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1588307805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7037 SPOTTED DEER PL",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335788977",
            "telephone_number": "813-501-3124",
            "fax_number": "813-492-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "813-501-3124",
            "fax_number": "813-492-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY XCELLED COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "DEMETRIC",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "813-501-3124",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@serenityxcelledcounseling.com",
            "affiliation": "N",
            "endpointDescription": "General Correspondence",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7901 4th St N Ste 300",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337024399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sherif M. Serag, M.D.
• Jessie Bardin Sereda, ARNP
• Serenity Clinic LLC
• Serenity House Afch
• Serenity Love and Care LLC
• Rachel Marie Morris Sessler, MD
• Vikas S Sethi, DO
• Diana Lee Severs
• Jennifer Sewell, MS
• Rosemary Greechan Sexton, ARNP

• Mental Health Counselor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.