Organization Active NPI

Serenity Professional Counseling, PLLC

  • Community/Behavioral Health Agency
  • Fort Worth, TX
National Provider Identifier
1790347060
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jul 8, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.