NPIMap

Organization Active NPI

Serenity Treatment Center, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Frederick, MD
National Provider Identifier
1992027726
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SERENITY TREATMENT CENTER, INC.
Practice address
5703 Industry Lane
Unit 103-104
Frederick, MD 21704-7263
Phone
(301) 898-2627
Fax
(301) 898-2640
NPI assigned
Feb 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Sean Nicholson
Title
Ceo
Phone
(240) 457-8874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

5703 Industry Lane
Unit 103-104
Frederick, MD 21704-7263

Mailing address

5703 Industry LN Unit 103-104
Frederick, MD 21704-7263
Phone (301) 898-2627

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2025794Serenity Treatment Center Inc5703 Industry Lane Suite 103-104, Frederick, MD 21704Certificate of waiverOct 2, 2026

National Provider Directory

National Provider Directory
Tax ID family
Serenity Treatment Center Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

5703 Industry Ln
#102103
Frederick, MD 21704

420 E Patrick St
Frederick, MD 21701
Phone (301) 698-7420

NPI Registry JSON

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

{
    "created_epoch": "1266710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1992027726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 INDUSTRY LN UNIT 103-104",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047263",
            "telephone_number": "301-898-2627",
            "fax_number": "301-898-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 INDUSTRY LANE",
            "address_2": "UNIT 103-104",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047263",
            "telephone_number": "301-898-2627",
            "fax_number": "301-898-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-21",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-457-8874"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.