Organization Active NPI

Serenity Mental Health LLC

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1649638487
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
18477 Issued in MN
Legal business name
SERENITY MENTAL HEALTH LLC
Practice address
1599 Selby Ave Ste 105LL
Saint Paul, MN 55104-6375
Phone
(715) 497-6678
NPI assigned
Feb 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Elizabeth Marie Anez, LICSW
Title
Mental Health Therapist
Phone
(715) 497-6678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 18477 MN Primary

Addresses

Primary practice location

1599 Selby Ave Ste 105LL
Saint Paul, MN 55104-6375

Mailing address

1599 Selby Ave Ste 105LL
Saint Paul, MN 55104-6375
Phone (715) 497-6678

National Provider Directory

National Provider Directory

Locations

1599 Selby Ave
Ste 105LL
Saint Paul, MN 55104
Phone (612) 470-0991

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1649638487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 SELBY AVE STE 105LL",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046375",
            "telephone_number": "715-497-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 SELBY AVE STE 105LL",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046375",
            "telephone_number": "715-497-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "ANEZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "715-497-6678",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "18477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.