Organization Active NPI

Shifaa Serenity Therapy Solutions

  • Social Worker
  • Fairfield, OH
National Provider Identifier
1992696082
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
SHIFAA SERENITY THERAPY SOLUTIONS
Practice address
1251 Nilles Rd
Fairfield, OH 45014-7206
Phone
(513) 446-5048
NPI assigned
Jul 15, 2025
Last updated
Jun 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Felisha T Jackson IlyasNPI 1487169595
Title
Owner/ Ceo
Phone
(513) 446-5048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1251 Nilles Rd
Fairfield, OH 45014-7206

Mailing address

PO Box 14634
Cincinnati, OH 45250-0634
Phone (513) 446-5048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251027003412 OH Part B Supplier - Clinic/Group Practice 1850880246 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfield, OH

National Provider Directory

National Provider Directory

Locations

1251 Nilles Rd
Fairfield, OH 45014
Phone (513) 446-5048

1251 Nilles Rd
Ste 8
Fairfield, OH 45014
Phone (513) 446-5048

Practitioners & affiliated clinicians

Practitioners 2

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": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1992696082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14634",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452500634",
            "telephone_number": "513-446-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 NILLES RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450147206",
            "telephone_number": "513-446-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFAA SERENITY THERAPY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON ILYAS",
        "authorized_official_first_name": "FELISHA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "513-446-5048"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.