Active NPI
Serenity Counseling Center
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1851450761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- SERENITY COUNSELING CENTER
- Practice address
- 2011 E 75TH
Suite 103
Chicago, IL 60649 - Phone
- (773) 643-0500
- Fax
- (773) 643-0545
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Hugh Lee Flemming Sr., DMIN
- Title
- President
- Phone
- (773) 643-0500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | IL | Primary |
Addresses
Primary practice location
2011 E 75TH
Suite 103
Chicago, IL 60649
Mailing address
2011 E 75TH Suite 106
PO Box 19506
Chicago, IL 60649
Phone (773) 643-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01618891 | Other | IL | BCBS |
National Provider Directory
National Provider DirectoryLocations
2011 E 75th St
Ste 106
Chicago, IL 60649
2011 E 75th St
Ste 103
Chicago, IL 60649
Phone (773) 643-0500
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1215253307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1851450761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 E 75TH SUITE 106",
"address_2": "PO BOX 19506",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60649",
"telephone_number": "773-643-0500",
"fax_number": "773-643-0545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 E 75TH",
"address_2": "SUITE 103",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60649",
"telephone_number": "773-643-0500",
"fax_number": "773-643-0545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FLEMMING",
"authorized_official_first_name": "HUGH",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-643-0500",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "DMIN"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01618891",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Serene Sapphire LLC
- Serene Solutions Consulting LLC
- Serengeti Wellness, PLLC
- Serenity Align Wellness and Counseling
- Serenity Breast Health and Wellness PLLC
- Serenity Family Chiropractic PLLC
- Serenity Health & Wellness, LTD
- Serenity Homecare Services of Illinois
- Serenity Hospice LLC
- Serenity Integrative Medicine LTD (Spine & Sports Center of Chicago)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.