Serenity Minds

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SERENITY MINDS

Practice address

572 Julianne Ave N
Lake Elmo, MN 55042-4104

Phone

(651) 363-6280

NPI assigned

May 28, 2025

Organization subpart

No

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

Authorized official

Name

Ibsa Lolo

Title

Owner

Phone

(651) 363-6280

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1659164853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 JULIANNE AVE N",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550424104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 JULIANNE AVE N",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550424104",
            "telephone_number": "651-363-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "LOLO",
        "authorized_official_first_name": "IBSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-363-6280"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Del Sand
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• Peter Schultz, MA, LPCC
• Heather J Schute, DDS
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• Denise C. Servais, M.ED., CCC-SLP
• Melissa B Severance, MA LP
• Simply Chiropractic, P.a.
• Sarah Rae Sims
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• Early Intervention Provider Agency in Lake Elmo, MN
• Providers in Lake Elmo, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.