Organization Active NPI

Serenity Mental Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Northbrook, IL
National Provider Identifier
1629936349
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SERENITY MENTAL WELLNESS
Practice address
900 Skokie Blvd Ste 203
Northbrook, IL 60062-4031
Phone
(224) 306-9464
Fax
(224) 306-9524
NPI assigned
Jan 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Sarah Tisser, DNPNPI 1417621541
Title
Nurse Practitioner/Owner
Phone
(224) 306-9464

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

900 Skokie Blvd Ste 203
Northbrook, IL 60062-4031

Mailing address

900 Skokie Blvd Ste 203
Northbrook, IL 60062-4031
Phone (224) 306-9464

National Provider Directory

National Provider Directory

Locations

900 Skokie Blvd
Ste 203
Northbrook, IL 60062
Phone (224) 306-9464

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1629936349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 203",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624031",
            "telephone_number": "224-306-9464",
            "fax_number": "224-306-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 203",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624031",
            "telephone_number": "224-306-9464",
            "fax_number": "224-306-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MENTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "TISSER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "224-306-9464",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.