NPIMap

Organization Active NPI

Serenity Treatment Center, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Hagerstown, MD
National Provider Identifier
1649636747
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
905830 Issued in MD
Legal business name
SERENITY TREATMENT CENTER, INC.
Practice address
580 Northern Ave
Suite D
Hagerstown, MD 21742-2847
Phone
(301) 732-5328
NPI assigned
Jan 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Sean Nicholson
Title
Ceo/Owner
Phone
(240) 457-8874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 905830 MD Primary

Addresses

Primary practice location

580 Northern Ave
Suite D
Hagerstown, MD 21742-2847

Mailing address

580 Northern Ave Ste D
Hagerstown, MD 21742-2891
Phone (301) 732-5328

Other identifiers 1

IdentifierTypeStateIssuer
091900400MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Serenity Treatment Center Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

580 Northern Ave
Ste D
Hagerstown, MD 21742
Phone (301) 732-5328

Practitioners & affiliated clinicians

Practitioners 2

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": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1649636747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 NORTHERN AVE STE D",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422891",
            "telephone_number": "301-732-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 NORTHERN AVE",
            "address_2": "SUITE D",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422847",
            "telephone_number": "301-732-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "240-457-8874"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "905830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091900400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.