Serenity Healing Counseling Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SERENITY HEALING COUNSELING CENTER LLC

Practice address

7132 Capri St
Portage, MI 49002-9415

Phone

(269) 567-8127

NPI assigned

Jun 10, 2022

Last updated

Mar 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latieca Williams, LMSWNPI 1265185375

Title

Owner

Phone

(269) 567-8127

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latieca Williams, LMSW

  • Clinical Social Worker
  • Portage, MI
  • NPI 1265185375
  Medicare reassignment NPD Authorized official
• William Wray, FLE

  • Clinical Social Worker
  • Marshall, MI
  • NPI 1235514878
  Medicare reassignment NPD

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1831829118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7132 CAPRI ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490029415",
            "telephone_number": "269-567-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7132 CAPRI ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490029415",
            "telephone_number": "269-567-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HEALING COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LATIECA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-567-8127",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Portage",
            "affiliation": "N",
            "address_1": "7132 Capri St",
            "city": "Portage",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490029415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katelyn Seelye
• Kelly Seelye
• Jessica Cassandra Semia, LLMSW
• David Charles Semler, M.D.
• Serene Solutions
• Rachel Seyfert, LMSW-C
• Shamika Hall, PH.D. & Associates, PLLC
• Keesha Shankle
• Grace Shannon
• Megan Kaye Shannon

• Clinical Social Worker in Portage, MI
• Providers in Portage, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.