Serenity Wellness

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SERENITY WELLNESS

Practice address

787 Hampden Ave Unit 423
Saint Paul, MN 55114-2309

Phone

(651) 497-6593

NPI assigned

Oct 8, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Shukri Bashir, MA, LPCNPI 1184359887

Title

Co-Executive Director

Phone

(651) 497-6593

Specialties & licenses 1

Addresses

Practitioners 1

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

• Shukri Bashir, LPCC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1184359887

  Mental Health (Including Community Mental Health Center)

  NPD Authorized official

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1851053698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 HAMPDEN AVE UNIT 423",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551142309",
            "telephone_number": "651-497-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 HAMPDEN AVE UNIT 423",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551142309",
            "telephone_number": "651-497-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "BASHIR",
        "authorized_official_first_name": "SHUKRI",
        "authorized_official_title_or_position": "CO-EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-497-6593",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jean Kristine Sershen, L.P.C.
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• Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.