Serenity Now Substance Abuse Clinic, LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

SERENITY NOW SUBSTANCE ABUSE CLINIC, LLC

Practice address

5007 Decatur St
Saint Leonard, MD 20685-2600

Phone

(301) 758-8551

NPI assigned

Nov 16, 2023

Organization subpart

No

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

Authorized official

Name

Tracy Lynn Schaecher, CRNP

Title

Owner

Phone

(301) 758-8551

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1710752019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 DECATUR ST",
            "city": "SAINT LEONARD",
            "state": "MD",
            "postal_code": "206852600",
            "telephone_number": "301-758-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 DECATUR ST",
            "city": "SAINT LEONARD",
            "state": "MD",
            "postal_code": "206852600",
            "telephone_number": "301-758-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY NOW SUBSTANCE ABUSE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "SCHAECHER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-758-8551",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tsion M Mekonnen, PMHNP-BC
• Jay Neal
• Corinne Pearce, RD
• Jamie Seawell, RD
• Serenity Health and Wellness
• Carol H Shiplet
• St Leonard Volunteer Fire and Rescue Company 7 Inc
• Tidal Psychiatric Services LLC

• Addiction Medicine (Family Medicine) Physician in Saint Leonard, MD
• Providers in Saint Leonard, MD by specialty
• Addiction Medicine (Family Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.