Organization Active NPI

Serene Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fargo, ND
National Provider Identifier
1700477742
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SERENE COUNSELING PLLC
Practice address
6046 14TH St S
Fargo, ND 58104-7226
Phone
(701) 404-0997
Fax
(701) 566-8876
NPI assigned
Feb 2, 2021
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Lindsey Leigh KruegerNPI 1043746183
Title
Owner
Phone
(701) 404-0997

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Professional Counselor 101YP2500X
Social Worker 104100000X
Clinical Social Worker 1041C0700X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

6046 14TH St S
Fargo, ND 58104-7226

Mailing address

6046 14TH St S
Fargo, ND 58104-7226
Phone (701) 404-0997

Other practice location 1

522 Reenie Way
San Antonio, TX 78258-4938
Phone (701) 404-0997

Other practice location 2

709 Dakota Ave Ste C
Wahpeton, ND 58075-4333
Phone (701) 404-0997

Other practice location 3

311 1st Ave S Ste 1
Jamestown, ND 58401-4277
Phone (701) 404-0997

Other practice location 4

4951 77th St W
Edina, MN 55435-4802
Phone (701) 404-0997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, TX, MN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20210312001728 ND Part B Supplier - Clinic/Group Practice 5496161671 Receives reassigned benefits from 4 practitioners
Practice locations: Fargo, ND; Jamestown, ND
O20221222001049 TX Part B Supplier - Clinic/Group Practice 5496161671 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX
O20250807000675 MN Part B Supplier - Clinic/Group Practice 5496161671 Receives reassigned benefits from 1 practitioner
Practice locations: Minneapolis, MN

National Provider Directory

National Provider Directory

Locations

311 1st Ave S
Ste 1
Jamestown, ND 58401

Practitioners & affiliated clinicians

Practitioners 7

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": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1700477742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6046 14TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047226",
            "telephone_number": "701-404-0997",
            "fax_number": "701-566-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6046 14TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047226",
            "telephone_number": "701-404-0997",
            "fax_number": "701-566-8876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 Reenie Way",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584938",
            "country_code": "US",
            "telephone_number": "701-404-0997",
            "fax_number": "701-566-8876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "709 Dakota Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Wahpeton",
            "state": "ND",
            "postal_code": "580754333",
            "country_code": "US",
            "telephone_number": "701-404-0997",
            "fax_number": "701-566-8876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 1st Ave S Ste 1",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "ND",
            "postal_code": "584014277",
            "country_code": "US",
            "telephone_number": "701-404-0997",
            "fax_number": "701-566-8876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4951 77th St W",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354802",
            "country_code": "US",
            "telephone_number": "701-404-0997",
            "fax_number": "701-566-8876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-404-0997"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.