Serenity Springs Clinical Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SERENITY SPRINGS CLINICAL COUNSELING LLC

Doing business as

Serenity Springs Clinical Counseling

Practice address

430 Salt Meadow Cir Unit 303
Bradenton, FL 34208-1772

Phone

(614) 537-7426

Fax

(844) 813-5222

NPI assigned

Oct 27, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Todd Warren, LPCCNPI 1073061149

Title

Founder/Clinical Counselor

Phone

(614) 537-7426

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Serenity Springs Clinical Counseling Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd Warren, LPC

  • Professional Counselor
  • Columbus, OH
  • NPI 1073061149
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1831799246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5913 PINEVILLE DR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232568",
            "telephone_number": "614-537-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SALT MEADOW CIR UNIT 303",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081772",
            "telephone_number": "614-537-7426",
            "fax_number": "844-813-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5913 Pineville Dr",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431232568",
            "country_code": "US",
            "telephone_number": "614-537-7426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY SPRINGS CLINICAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "FOUNDER/CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "614-537-7426",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073061149",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Springs Clinical Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serenity Springs Clinical Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosan Marie Sequeda, M.D.
• Serene Bebe LLC
• Serene Soul Psychiatric Services, PLLC
• Serenity Counseling LCSW LLC
• Serenity Gardens of Bradenton, LLC
• Rebecca Lee Serijan, A.P.
• Daniel J. Serpentelli III, DC
• Alexandra Riley Servia, MA, LMHC, NCC
• Service Industry Solutions Inc.
• Krista D Settle, DPT MPT

• Professional Counselor in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.