Active NPI
Serenity Human Service Coordination LLC
- Mental Health Counselor
- Idaho Falls, ID
National Provider Identifier
1629405741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2025
- 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
- Mrs. Aracelli Rodriguez, MSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Case Manager/Care Coordinator
- Idaho Falls, ID
- NPI 1750563417
-
- Social Worker
- Idaho Falls, ID
- NPI 1780494336
-
- Mental Health Counselor
- Idaho Falls, ID
- NPI 1285443267
-
- Social Worker
- Idaho Falls, ID
- NPI 1477974871
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.