Organization Active NPI

Serenity Family Counseling LLC

  • Clinical Social Worker
  • New Ulm, MN
National Provider Identifier
1811405376
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22782 Issued in MN
Legal business name
SERENITY FAMILY COUNSELING LLC
Practice address
210 20TH South St
New Ulm, MN 56073-2223
Phone
(507) 338-5600
Fax
(888) 338-6234
NPI assigned
Jan 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Jan Marie Schwarzrock, MSW, LICSW, RPTNPI 1851809305
Title
Outpatient Therapist
Phone
(507) 338-5600

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 22782 MN Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

210 20TH South St
New Ulm, MN 56073-2223

Mailing address

PO Box 12
New Ulm, MN 56073-0012
Phone (507) 338-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180315000801 MN Part B Supplier - Clinic/Group Practice 9830451681 Receives reassigned benefits from 1 practitioner
Practice locations: New Ulm, MN

National Provider Directory

National Provider Directory

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": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1811405376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560730012",
            "telephone_number": "507-338-5600",
            "fax_number": "888-338-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 20TH SOUTH ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560732223",
            "telephone_number": "507-338-5600",
            "fax_number": "888-338-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY FAMILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "SCHWARZROCK",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OUTPATIENT THERAPIST",
        "authorized_official_telephone_number": "507-338-5600",
        "authorized_official_credential": "MSW, LICSW, RPT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22782",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Ulm, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.