Serenity Counseling Clinic

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SERENITY COUNSELING CLINIC

Practice address

2124 Dupont Ave S Ste G2
Minneapolis, MN 55405-2759

Phone

(612) 600-7561

Fax

(612) 314-8728

NPI assigned

Dec 23, 2024

Organization subpart

No

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

Authorized official

Name

Ubah Mahamed Hirsi, MA, LPCCNPI 1194348599

Title

Mental Health Professional

Phone

(952) 564-8226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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

• Ubah Mahamed Hirsi, MA, LPCC

  • Professional Counselor
  • Minneapolis, MN
  • NPI 1194348599
  Medicare reassignment NPD Authorized official
• Ruth Ann Hornstein, PSY.D.

  • Clinical Psychologist
  • Minneapolis, MN
  • NPI 1407072739
  NPD

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1962210856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 DUPONT AVE S STE G2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052759",
            "telephone_number": "612-600-7561",
            "fax_number": "612-314-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 DUPONT AVE S STE G2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052759",
            "telephone_number": "612-600-7561",
            "fax_number": "612-314-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COUNSELING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "HIRSI",
        "authorized_official_first_name": "UBAH",
        "authorized_official_middle_name": "MAHAMED",
        "authorized_official_title_or_position": "MENTAL HEALTH PROFESSIONAL",
        "authorized_official_telephone_number": "952-564-8226",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serene Adult Day Center, Inc
• Serene Mental Health Center LLC
• Serene Psychiatric Services
• Serenity Care Home & Health Inc
• Serenity Center LLC
• Serenity Counseling Services Inc
• Serenity Group Homes LLC
• Serenity Healthcare, Inc.
• Serenity Home Health L.L.C.
• Serenity Housing Solutions LLC

• Mental Health Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.