Organization Active NPI

Your Sereninti LLC

  • Case Management Agency
  • Vero Beach, FL
National Provider Identifier
1720617335
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address jallen@yoursereniti.com

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.