Organization Active NPI

Serenity Psychotherapy LLC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1780345447
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SERENITY PSYCHOTHERAPY LLC
Practice address
401 Hall St SW Ste 185G
Grand Rapids, MI 49503-5098
Phone
(616) 900-9020
NPI assigned
Jan 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Sarah SaundersNPI 1487907556
Title
LMSW, LCSW
Phone
(248) 444-7424

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
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

401 Hall St SW Ste 185G
Grand Rapids, MI 49503-5098

Mailing address

49 Huckleberry Rd
East Hartford, CT 06118-3543

Other practice location 1

49 Huckleberry Rd
East Hartford, CT 06118-3543
Phone (616) 900-9020

National Provider Directory

National Provider Directory

Locations

401 Hall St SW
Ste 185G
Grand Rapids, MI 49503
Phone (616) 900-9020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1780345447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HUCKLEBERRY RD",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061183543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HALL ST SW STE 185G",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035098",
            "telephone_number": "616-900-9020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Huckleberry Rd",
            "address_purpose": "LOCATION",
            "city": "East Hartford",
            "state": "CT",
            "postal_code": "061183543",
            "country_code": "US",
            "telephone_number": "616-900-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "LMSW, LCSW",
        "authorized_official_telephone_number": "248-444-7424"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.