Organization Active NPI

Serenity Solutions Counseling LLC

  • Clinical Social Worker
  • Mystic, CT
National Provider Identifier
1679341028
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SERENITY SOLUTIONS COUNSELING LLC
Practice address
14 Masons Island Rd Unit 4D
Mystic, CT 06355-2958
Phone
(860) 271-1463
NPI assigned
Dec 14, 2023
Last updated
Dec 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Kathryn BalestracciNPI 1427671353
Title
Owner
Phone
(860) 271-1463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

14 Masons Island Rd Unit 4D
Mystic, CT 06355-2958

Mailing address

78 Tom Wheeler Rd
North Stonington, CT 06359-1132
Phone (860) 271-1463

National Provider Directory

National Provider Directory

Locations

14 Masons Island Rd
Unit 4D
Mystic, CT 06355
Phone (860) 271-1463

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1679341028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 TOM WHEELER RD",
            "city": "NORTH STONINGTON",
            "state": "CT",
            "postal_code": "063591132",
            "telephone_number": "860-271-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MASONS ISLAND RD UNIT 4D",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552958",
            "telephone_number": "860-271-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SOLUTIONS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "BALESTRACCI",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-271-1463"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.