NPIMap

Organization Active NPI

Serenity Counseling Services

  • Community/Behavioral Health Agency
  • Matthews, NC
National Provider Identifier
1952831158
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C008336 Issued in NC
Legal business name
SERENITY COUNSELING SERVICES
Doing business as
Serenity Counseling Services
Practice address
5232 Margaret Wallace Rd
Matthews, NC 28105-2110
Phone
(980) 222-4824
Fax
(980) 217-0024
NPI assigned
Jun 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Wanda Renee McWilliams, LCSWNPI 1710261888
Title
Owner
Phone
(980) 318-7046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C008336 NC Primary

Addresses

Primary practice location

5232 Margaret Wallace Rd
Matthews, NC 28105-2110

Mailing address

1213 Alston Hill Dr
Charlotte, NC 28214-8978
Phone (980) 222-4824

Other identifiers 1

IdentifierTypeStateIssuer
17102610888OtherNCBLUE CROSS BLUE SHIELD

Other names 1

  • Serenity Counseling Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1952831158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 ALSTON HILL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282148978",
            "telephone_number": "980-222-4824",
            "fax_number": "980-217-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5232 MARGARET WALLACE RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052110",
            "telephone_number": "980-222-4824",
            "fax_number": "980-217-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-318-7046",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C008336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "17102610888",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 16, 2018; 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.