Active NPI
Nina Serene Golemi, MA, LPC
- Mental Health Counselor
- Watertown, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7351-125
- Practice address
- 300 N 3Rd St Ste 112
Watertown, WI 53094-3723 - Phone
- (920) 545-4357
- NPI assigned
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7351-125 | WI | Primary |
Addresses
Primary practice location
300 N 3Rd St Ste 112
Watertown, WI 53094-3723
Mailing address
818 West Street
Suite 814
Watertown, WI 53094-3608
Phone (920) 248-0578
Other practice location 1
3505 N 124th St
Brookfield, WI 53005-2489
Phone (414) 436-7303 ext. 112
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nina@serenitytherapyclinic.com | Direct | Serenity Mental Health Services, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7351-125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Mental Health Services, LLC | Mental Health | Current | Accepting new patients |
| Inner Haven Wellness LLC | Current | Accepting new patients |
Locations
401 Charmany Dr
Ste 320
Madison, WI 53719
Phone (608) 400-1951
818 West St
Ste 814
Watertown, WI 53094
Phone (920) 306-2174
300 N 3rd St
Ste 112
Watertown, WI 53094
Phone (920) 545-4357
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Watertown, WI
- NPI 1285290692
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1225780422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1962913012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 WEST STREET",
"address_2": "SUITE 814",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "530943608",
"telephone_number": "920-248-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N 3RD ST STE 112",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "530943723",
"telephone_number": "920-545-4357"
}
],
"practiceLocations": [
{
"address_1": "3505 N 124th St",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "WI",
"postal_code": "530052489",
"country_code": "US",
"telephone_number": "414-436-7303 x112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLEMI",
"first_name": "NINA",
"middle_name": "SERENE",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2022-05-27",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "7351-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nina@serenitytherapyclinic.com",
"affiliation": "Y",
"endpointDescription": "Email Address",
"affiliationName": "Serenity Mental Health Services, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "300 N 3rd St Ste 112",
"city": "Watertown",
"state": "WI",
"country_code": "US",
"postal_code": "530943723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Watertown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.