NPIMap

Organization Active NPI

Serenity Counseling Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Myers, FL
National Provider Identifier
1699286237
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
IMH13984 Issued in FL
Legal business name
SERENITY COUNSELING CENTER, LLC
Practice address
3900 Broadway Unit B1
Fort Myers, FL 33901-8193
Phone
(239) 603-1100
NPI assigned
Oct 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Janean Byrne, MSNPI 1356852990
Title
Owner/Counselor
Phone
(239) 603-1100

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X IMH13984 FL Primary

Addresses

Primary practice location

3900 Broadway Unit B1
Fort Myers, FL 33901-8193

Mailing address

2305 SE 8TH Ter
Cape Coral, FL 33990-7700
Phone (239) 603-1100

Other practice location 1

8359 Beacon Blvd Ste 310
Fort Myers, FL 33907-3062
Phone (239) 603-1100

National Provider Directory

National Provider Directory

Locations

3900 Broadway
Unit B1
Fort Myers, FL 33901
Phone (239) 603-1100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1699286237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SE 8TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339907700",
            "telephone_number": "239-603-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 BROADWAY UNIT B1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018193",
            "telephone_number": "239-603-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8359 Beacon Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339073062",
            "country_code": "US",
            "telephone_number": "239-603-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "JANEAN",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "239-603-1100",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "IMH13984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.