Organization Active NPI

Serenity Space Counseling, PLLC

  • Clinical Social Worker
  • Matthews, NC
National Provider Identifier
1851773360
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009546 Issued in NC
Legal business name
SERENITY SPACE COUNSELING, PLLC
Practice address
1122 Sam Newell Rd Ste 110
Matthews, NC 28105-5016
Phone
(704) 931-8371
Fax
(877) 259-6224
NPI assigned
Jun 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Lisa K PadenNPI 1083800247
Title
Owner/Therapist
Phone
(704) 776-0220

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C009546 NC Primary

Addresses

Primary practice location

1122 Sam Newell Rd Ste 110
Matthews, NC 28105-5016

Mailing address

1122 Sam Newell Rd Ste 110
Matthews, NC 28105-5016
Phone (704) 776-0220

Other names 1

  • Union Family Services, PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1122 Sam Newell Rd
Ste 110
Matthews, NC 28105
Phone (704) 996-8406

124 Winchester Ave
Ste B
Monroe, NC 28110
Phone (704) 877-9881

1736 Dickerson Blvd
#142
Monroe, NC 28110

Practitioners & affiliated clinicians

Practitioners 6

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": "1434758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1851773360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 SAM NEWELL RD STE 110",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055016",
            "telephone_number": "704-776-0220",
            "fax_number": "877-259-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 SAM NEWELL RD STE 110",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055016",
            "telephone_number": "704-931-8371",
            "fax_number": "877-259-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SPACE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "PADEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "704-776-0220"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Family Services, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.