NPIMap

Organization Active NPI

Sereneco Wellness Center LLC

  • Mental Health Counselor
  • Frisco, TX
National Provider Identifier
1932829041
Registry record updated Oct 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SERENECO WELLNESS CENTER LLC
Practice address
4645 Avon LN Ste 190B
Frisco, TX 75033-1549
Phone
(972) 259-0109
NPI assigned
Aug 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2022

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

Authorized official

Name
Aaron Krzycki
Title
Owner
Phone
(972) 259-0109

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

4645 Avon LN Ste 190B
Frisco, TX 75033-1549

Mailing address

4645 Avon LN Ste 190B
Frisco, TX 75033-1549
Phone (972) 259-0109

Other practice location 1

506 N Main St
Bonham, TX 75418-3718
Phone (903) 710-1994

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://sereneco.mytheranest.com/home/login

National Provider Directory

National Provider Directory

Locations

506 N Main St
Bonham, TX 75418
Phone (903) 710-1994

Practitioners & affiliated clinicians

Practitioners 4

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": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667001600000",
    "number": "1932829041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 AVON LN STE 190B",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331549",
            "telephone_number": "972-259-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 AVON LN STE 190B",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331549",
            "telephone_number": "972-259-0109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 N Main St",
            "address_purpose": "LOCATION",
            "city": "Bonham",
            "state": "TX",
            "postal_code": "754183718",
            "country_code": "US",
            "telephone_number": "903-710-1994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENECO WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-10-29",
        "certification_date": "2022-10-29",
        "status": "A",
        "authorized_official_last_name": "KRZYCKI",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-259-0109"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://sereneco.mytheranest.com/home/login",
            "affiliation": "N",
            "endpointDescription": "Client Portal",
            "address_1": "4645 Avon Ln Ste 190B",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750331549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2022; 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.