Organization Active NPI

Serenity House Counseling Services Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Addison, IL
National Provider Identifier
1689564882
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
SERENITY HOUSE COUNSELING SERVICES INC.
Practice address
891 S Rohlwing Rd
Addison, IL 60101-4220
Phone
(630) 620-6616
Fax
(630) 620-6616
NPI assigned
Jul 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Mark Buschbacher
Title
President / Ceo
Phone
(630) 620-6616

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

891 S Rohlwing Rd
Addison, IL 60101-4220

Mailing address

891 S Rohlwing Rd
Addison, IL 60101-4220
Phone (630) 620-6616

Other names 1

  • Serenity House Counseling Services Inc. Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1067378Serenity House Counseling Services Inc891 S Rohlwing Rd, Addison, IL 60101Certificate of waiverApr 16, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1689564882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 S ROHLWING RD",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601014220",
            "telephone_number": "630-620-6616",
            "fax_number": "630-620-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 S ROHLWING RD",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601014220",
            "telephone_number": "630-620-6616",
            "fax_number": "630-620-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOUSE COUNSELING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "BUSCHBACHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "630-620-6616"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity House Counseling Services Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serenity House Counseling Services Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Addison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.