NPIMap

Organization Active NPI

Serene Minds Counseling LLC

  • Clinical Social Worker
  • Coral Springs, FL
National Provider Identifier
1811567274
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SERENE MINDS COUNSELING LLC
Practice address
8801 W Atlantic Blvd # 773352
Coral Springs, FL 33071-7462
Phone
(954) 638-2415
NPI assigned
Jun 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Ms. Jennifer CharlesNPI 1386284578
Title
Owner
Phone
(954) 638-2415

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 SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8801 W Atlantic Blvd # 773352
Coral Springs, FL 33071-7462

Mailing address

8801 W Atlantic Blvd # 773352
Coral Springs, FL 33071-7462
Phone (954) 638-2415

National Provider Directory

National Provider Directory

Locations

8801 W Atlantic Blvd
#773352
Coral Springs, FL 33071
Phone (954) 638-2415

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": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1811567274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 W ATLANTIC BLVD # 773352",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717462",
            "telephone_number": "954-638-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 W ATLANTIC BLVD # 773352",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717462",
            "telephone_number": "954-638-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE MINDS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-638-2415",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.