Serenity Treatment and Counseling Center Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SERENITY TREATMENT AND COUNSELING CENTER INC

Practice address

19408 North Creek Drive
Lynwood, IL 60411-8649

Phone

(708) 251-3952

Fax

(708) 251-5496

NPI assigned

Jul 12, 2017

Last updated

Mar 22, 2019By 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. Karl Michael Perteet

Title

Consultant/Accountant

Phone

(800) 881-2740

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Locations

Practitioners 2

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.

• William Bryant I, NP

  • Family Nurse Practitioner
  • Schaumburg, IL
  • NPI 1336555150
  NPD
• Yusuf Salah

  • Psychiatry Physician
  • Westchester, IL
  • NPI 1922413327
  NPD

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1689196578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10641 S HALE AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432700",
            "telephone_number": "800-881-2740",
            "fax_number": "888-557-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19408 NORTH CREEK DRIVE",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604118649",
            "telephone_number": "708-251-3952",
            "fax_number": "708-251-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY TREATMENT AND COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "PERTEET",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CONSULTANT/ACCOUNTANT",
        "authorized_official_telephone_number": "800-881-2740",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albeza Veronica Ruiz, RN
• S&H Providers Transportation Services
• Dairion Sales
• Sandridge School District 172
• Saving Grace Transportation, Inc.
• Shannon Colleen Shelby
• Keena L. Sims, DT
• Solid Ground Foundation for Behavioral Services
• Speech Language Fundamentals Inc
• St. Margaret Mercy Healthcare Centers Inc (Lynwood Family Services)

• Substance Use Disorder Rehabilitation Clinic/Center in Lynwood, IL
• Providers in Lynwood, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.