Serenity Therapy and Wellness, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SERENITY THERAPY AND WELLNESS, INC.

Practice address

45 N Main St Ste 301
Fall River, MA 02720-2133

Phone

(774) 930-7142

NPI assigned

Oct 3, 2022

Organization subpart

No

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

Authorized official

Name

Lisa O'Brien, LICSWNPI 1356859284

Title

President

Phone

(774) 930-7142

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

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

• Lisa O'Brien, LICSW

  • Clinical Social Worker
  • Fall River, MA
  • NPI 1356859284

  Mental Health

  Medicare reassignment NPD Authorized official
• Matthew Wayne Boyd II

  • Mental Health Counselor
  • Fall River, MA
  • NPI 1285029850
  NPD

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1639893514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 CENTER ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027242765",
            "telephone_number": "774-930-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N MAIN ST STE 301",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202133",
            "telephone_number": "774-930-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY THERAPY AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "774-930-7142",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Senra, HIS
• Nancy Senra
• Christina Santos Sequeira
• Samuel Serby
• Richard N Serejczyk, LADC 1
• Denio M Serpa
• Katherine E Serra, CNP
• Rachael Servidio
• Jillian Sethares, PT, DPT
• Seven Hills Behavioral Health

• Clinical Social Worker in Fall River, MA
• Providers in Fall River, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.

Verify at the official NPI Registry.