NPIMap

Organization Active NPI

Serenity Counseling Center, LLC

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1720671126
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SERENITY COUNSELING CENTER, LLC
Practice address
50 Whitlock PL SW Ste 350
Marietta, GA 30064-3164
Phone
(404) 369-0816
Fax
(470) 523-4415
NPI assigned
Feb 16, 2021
Last updated
Feb 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Jessica Ruiz, LPCNPI 1851628895
Title
Founder/Director
Phone
(404) 369-0816

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

50 Whitlock PL SW Ste 350
Marietta, GA 30064-3164

Mailing address

2210 Everleigh Dr
Marietta, GA 30064-2652
Phone (404) 369-0816

Other names 1

  • Serenity Counseling Center, LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Marietta

National Provider Directory

National Provider Directory

Locations

50 Whitlock Pl SW
Ste 350
Marietta, GA 30064
Phone (404) 369-0816

Practitioners & affiliated clinicians

Practitioners 3

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": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1720671126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 EVERLEIGH DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642652",
            "telephone_number": "404-369-0816",
            "fax_number": "470-523-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WHITLOCK PL SW STE 350",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643164",
            "telephone_number": "404-369-0816",
            "fax_number": "470-523-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "FOUNDER/DIRECTOR",
        "authorized_official_telephone_number": "404-369-0816",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Marietta",
            "affiliation": "N",
            "address_1": "50 Whitlock Pl SW Ste 350",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300643164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Serenity Counseling Center, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.