Organization Active NPI

Serenity Clinical Counseling and Wellness, LLC

  • Adult Mental Health Clinic/Center
  • Columbia, SC
National Provider Identifier
1881485571
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SERENITY CLINICAL COUNSELING AND WELLNESS, LLC
Practice address
1077 Acacia LN
Columbia, SC 29229-7063
Phone
(601) 624-3069
NPI assigned
May 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Shaven Abney Smith, LCSW
Title
Therapist
Phone
(601) 624-3069

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1077 Acacia LN
Columbia, SC 29229-7063

Mailing address

1077 Acacia LN
Columbia, SC 29229-7063
Phone (601) 624-3069

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1881485571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 ACACIA LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297063",
            "telephone_number": "601-624-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 ACACIA LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297063",
            "telephone_number": "601-624-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CLINICAL COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHAVEN",
        "authorized_official_middle_name": "ABNEY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "601-624-3069",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.