Organization Active NPI

Serenity Human Service Coordination LLC

  • Mental Health Counselor
  • Idaho Falls, ID
National Provider Identifier
1629405741
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SERENITY HUMAN SERVICE COORDINATION LLC
Practice address
560 3Rd St
Idaho Falls, ID 83401-3953
Phone
(208) 529-0169
Fax
(208) 542-5152
NPI assigned
Oct 3, 2013
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Mrs. Aracelli Rodriguez, MSWNPI 1750563417
Title
Owner
Phone
(208) 403-2825

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X LCPC4472 ID
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

560 3Rd St
Idaho Falls, ID 83401-3953

Mailing address

4254 E Sunnyside Rd
Ammon, ID 83406-8033
Phone (208) 403-2825

National Provider Directory

National Provider Directory

Locations

550 2nd St
Ste 146
Idaho Falls, ID 83401

560 3rd St
Idaho Falls, ID 83401
Phone (208) 529-0169

Practitioners & affiliated clinicians

Practitioners 4

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": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1629405741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 E SUNNYSIDE RD",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834068033",
            "telephone_number": "208-403-2825",
            "fax_number": "208-542-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 3RD ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013953",
            "telephone_number": "208-529-0169",
            "fax_number": "208-542-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HUMAN SERVICE COORDINATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ARACELLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-403-2825",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": "LCPC4472",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.