Active NPI
Serenity Family Counseling LLC
- Clinical Social Worker
- New Ulm, MN
National Provider Identifier
1811405376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22782
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jan Marie Schwarzrock, MSW, LICSW, RPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- New Ulm, MN
- NPI 1851809305
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.