Active NPI
Your Sereninti LLC
- Case Management Agency
- Vero Beach, FL
National Provider Identifier
1720617335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- YOUR SERENINTI LLC
- Practice address
- 601 21St St Ste 300
Vero Beach, FL 32960-0860 - Phone
- (321) 414-2248
- NPI assigned
- Apr 6, 2020
- Last updated
- Apr 16, 2020
- 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
- Juline Allen
- Title
- MGR
- Phone
- (321) 414-2248
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU |
Addresses
Primary practice location
601 21St St Ste 300
Vero Beach, FL 32960-0860
Mailing address
3425 Bayside Lakes Blvd SE Ste 103
Palm Bay, FL 32909-6867
Phone (321) 414-2248
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jallen@yoursereniti.com |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586995200000",
"number": "1720617335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 BAYSIDE LAKES BLVD SE STE 103",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329096867",
"telephone_number": "321-414-2248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 21ST ST STE 300",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329600860",
"telephone_number": "321-414-2248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR SERENINTI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-06",
"last_updated": "2020-04-16",
"certification_date": "2020-04-16",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "JULINE",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "321-414-2248"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jallen@yoursereniti.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "601 21st St Ste 300",
"city": "Vero Beach",
"state": "FL",
"country_code": "US",
"postal_code": "329600860",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.