NPIMap

Organization Active NPI

Serenity and Wellness Clinic

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
National Provider Identifier
1932501459
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SERENITY AND WELLNESS CLINIC
Practice address
1133 Pennsylvania Avenue
Suite 204
Baltimore, MD 21201-2005
Phone
(443) 640-8231
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Mrs. Juliet Adebsi Adetunji
Title
Ceo
Phone
(443) 640-8231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1133 Pennsylvania Avenue
Suite 204
Baltimore, MD 21201-2005

Mailing address

P.O. Box 1992
Baltimore, MD 21203
Phone (443) 640-8231

National Provider Directory

National Provider Directory
Tax ID family
Serenity and Wellness Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1133 Pennsylvania Ave
Ste 204
Baltimore, MD 21201
Phone (410) 383-9000

1133 Pennsylvania Ave
Baltimore, MD 21201
Phone (410) 383-0300

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1932501459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1992",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21203",
            "telephone_number": "443-640-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 PENNSYLVANIA AVENUE",
            "address_2": "SUITE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012005",
            "telephone_number": "443-640-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "ADETUNJI",
        "authorized_official_first_name": "JULIET",
        "authorized_official_middle_name": "ADEBSI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-640-8231",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.