SERENITY COUNSELING SERVICES PA
NPI 1275689812
Clinic/Center - Rehabilitation, Substance Use Disorder in Stuart, FL
NPI Status: Active since January 26, 2007
Contact Information
500 NW DIXIE HWY
SUITE 102
STUART, FL
ZIP 34994
Phone: (772) 692-8585
Fax: (772) 692-5651
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- Accepts Insurance
About SERENITY COUNSELING SERVICES PA
This page provides the complete NPI Profile along with additional information for Serenity Counseling Services Pa, a provider established in Stuart, Florida operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1275689812 assigned on January 2007. The practitioner's primary taxonomy code is 261QR0405X with license number 1943AD620400 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. Serenity Counseling Services Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Gilda G Broadwell Phd (Psychologist)
- NPI
- 1275689812
- Provider Name
- SERENITY COUNSELING SERVICES PA
- Entity Type
- Organization
- Location Address
- 500 NW DIXIE HWY SUITE 102 STUART, FL 34994
- Location Phone
- (772) 692-8585
- Location Fax
- (772) 692-5651
- Mailing Address
- PO BOX 2474 STUART, FL 34995
- Mailing Phone
- (772) 692-8585
- Mailing Fax
- (772) 692-5651
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-26-2007
- Last Update Date
- 10-23-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
- License No.
- 1943AD620400
- License State
- FL
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | PY5591 (FL) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15-43-AD-6204-00 | OTHER (01) | FL | C&F SUB ABUSE COUNSELING |
| 00039394 | MEDICARE ID-TYPE UNSPECIFIED (04) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 6 | 8 | 9 | 8 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 12 | 8 | 18 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 2 + 8 + 1 + 8 + 8 + 2 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1275689812 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508927302 | DR. MARK WILLIAM FEDELE DMD Individual | Dentist | 500 NW DIXIE HWY SUITE 200 STUART, FL 34994 (772) 692-6996 |
| 1881989101 | MWF, INC Organization | Dentist (General Practice) | 500 NW DIXIE HWY SUITE 200 STUART, FL 34994 (772) 692-6996 |
| 1942421995 | DR. GILDA G BROADWELL PHD Individual | Psychologist | 500 NW DIXIE HWY SUITE 102 STUART, FL 34994 (772) 692-8585 |
| 1700290897 | MATTHEW HOOKS D.M.D. Individual | Dentist (General Practice) | 500 NW DIXIE HWY SUITE 200 STUART, FL 34994 (772) 215-0723 |
| 1750694543 | NDM PARTNERS LLC Organization | Home Health | 500 NW DIXIE HWY SUITE 104 STUART, FL 34994 (772) 287-5432 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275689812, enumerated in the NPI registry as an "organization" on January 26, 2007
The provider is located at 500 Nw Dixie Hwy Suite 102 Stuart, Fl 34994 and the phone number is (772) 692-8585
This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder
The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.