Sirenity Tide Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SIRENITY TIDE COUNSELING SERVICES LLC

Practice address

8110 SW 9TH St
North Lauderdale, FL 33068-2037

Phone

(316) 708-7217

NPI assigned

Sep 5, 2025

Organization subpart

No

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

Authorized official

Name

Destiny Crayton, LMHCNPI 1518665017

Title

Owner

Phone

(316) 708-7217

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Destiny Crayton

  • Mental Health Counselor
  • North Lauderdale, FL
  • NPI 1518665017
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1932089240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 SW 9TH ST",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682037",
            "telephone_number": "316-708-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 SW 9TH ST",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682037",
            "telephone_number": "316-708-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRENITY TIDE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "CRAYTON",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-708-7217",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in North Lauderdale, FL
• Providers in North Lauderdale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.