Cedar Serenity LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

CEDAR SERENITY LLC

Practice address

8120 Penn Ave S Ste 500U
Bloomington, MN 55431-1367

Phone

(952) 245-0369

NPI assigned

Apr 21, 2023

Last updated

Aug 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roy Haddad, LPCC, LADCNPI 1508479700

Title

Founder

Phone

(952) 737-2420

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roy Haddad, LPCC, LADC

  • Counselor
  • Bloomington, MN
  • NPI 1508479700
  NPD Authorized official

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1669169314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 PENN AVE. S, SUITE 500U",
            "city": "BLOOMINGTOON",
            "state": "MN",
            "postal_code": "554314525",
            "telephone_number": "952-245-0369",
            "fax_number": "952-516-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 PENN AVE S STE 500U",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311367",
            "telephone_number": "952-245-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR SERENITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "952-737-2420",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC, LADC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catasys Health Minnesota, Inc.
• Bridget Kathleen Cauley, PHD
• Judith Cavazos-Beal, LMFT, LADC
• CDM, PLLC (Dr. Cassie McGuire, Holistic Chiropractic & Wellness)
• CDM, PLLC
• Center for Well Being, P.C.
• Brenna Katheryn Centini
• Michael A Cerjance, MD
• Emily Diane Cervantes I
• CH MH Services (MN), LLC

• Counselor in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.