Organization Active NPI

Serenity Wellness Group, Inc.

  • Professional Counselor
  • Colonial Heights, VA
National Provider Identifier
1851095509
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SERENITY WELLNESS GROUP, INC.
Practice address
2306 Boulvard
Colonial Heights, VA 23834-2316
Phone
(804) 243-5800
NPI assigned
Mar 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Qaadira Warith-Muhammad, RESIDENTNPI 1871370205
Title
Ceo
Phone
(804) 243-6800

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2306 Boulvard
Colonial Heights, VA 23834-2316

Mailing address

205 Temple Ave
Colonial Heights, VA 23834-2827
Phone (804) 243-5800

National Provider Directory

National Provider Directory
Tax ID family
Serenity Wellness Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2306 Boulevard
Colonial Heights, VA 23834
Phone (804) 243-5800

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": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1851095509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 TEMPLE AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342827",
            "telephone_number": "804-243-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 BOULVARD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342316",
            "telephone_number": "804-243-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY WELLNESS GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "WARITH-MUHAMMAD",
        "authorized_official_first_name": "QAADIRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-243-6800",
        "authorized_official_credential": "RESIDENT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.