Active NPI
Serenity Professional Counseling, PLLC
- Community/Behavioral Health Agency
- Fort Worth, TX
National Provider Identifier
1790347060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SERENITY PROFESSIONAL COUNSELING, PLLC
- Practice address
- 1701 River Run Ste 1020
Fort Worth, TX 76107-6556 - Phone
- (682) 265-7287
- NPI assigned
- Jul 8, 2019
- 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
- Jeffrey Edward Jones
- Title
- Founder
- Phone
- (682) 265-7287
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1701 River Run Ste 1020
Fort Worth, TX 76107-6556
Mailing address
6800 Pascal Way
None
Fort Worth, TX 76137
National Provider Directory
National Provider DirectoryLocations
1701 River Run
Ste 1020
Fort Worth, TX 76107
Phone (682) 265-7287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562544000000",
"number": "1790347060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 PASCAL WAY",
"address_2": "NONE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 RIVER RUN STE 1020",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761076556",
"telephone_number": "682-265-7287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY PROFESSIONAL COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-08",
"last_updated": "2019-07-08",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "682-265-7287"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.