Active NPI
Serenity House Counseling Services Inc.
- Mental Illness Community Based Residential Treatment Facility
- Addison, IL
National Provider Identifier
1689564882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1067378 | Serenity House Counseling Services Inc | Certificate of waiver | Apr 16, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.