SERENITY OUTPATIENT SERVICES (NPI# 1750931721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750931721 |
| Entity Type | Organization |
| Organization Name | SERENITY OUTPATIENT SERVICES |
| Practice Address |
9701 Apollo Dr Ste 100 Upper Marlboro MD 20774-4785 |
| Mailing Address |
9707 Rosaryville Rd Upper Marlboro MD 20772-4667 |
| Practice Telephone | 3013221700 |
| Mailing Telephone | 4438108497 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Authorized Official Name | MRS. VANIA FIELDS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4438108497 |
| Authorized Official Credential | MHSH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891184735 | Serenity Outpatient Services | Community/Behavioral Health | 4332 Central Ave, Suite O, Hot Springs, AR 71913-7437 | 2015-01-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SERENITY OUTPATIENT SERVICES, LLC | 1717 W Northwest Blvd, Spokane, WA 99205 |
| Street Address |
9701 APOLLO DR STE 100 |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-4785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794934 | United Counseling and Support Services | Counselor | 9701 Apollo Dr Ste 100, Upper Marlboro, MD 20774-4785 | 2020-09-14 |
| 1134731128 | United Counseling and Support Services | Counselor | 9701 Apollo Dr Ste 100, Upper Marlboro, MD 20774-4785 | 2020-08-20 |
| 1558973545 | United Counseling and Support Services | Licensed Psychiatric Technician | 9701 Apollo Dr Ste 100, Upper Marlboro, MD 20774-4785 | 2020-08-20 |
| 1811509805 | United Counseling and Support Services | Psychologist | 9701 Apollo Dr Ste 100, Upper Marlboro, MD 20774-4785 | 2020-08-20 |
| 1881206878 | United Counseling and Support Services | Counselor | 9701 Apollo Dr Ste 100, Upper Marlboro, MD 20774-4785 | 2020-08-20 |
| 1215564562 | Therapeutic Freedom | Clinic/Center | 9701 Apollo Dr Ste 100, Upper Marlboro, MD 20774-4785 | 2020-03-26 |
| 1316572217 | Tyreese Mcallister Clinical & Forensic Associates | Counselor | 9701 Apollo Dr Ste 100, Upper Marlboro, MD 20774-4785 | 2020-03-11 |
| 1568024644 | The Iep Team, LLC | Case Manager/Care Coordinator | 9701 Apollo Dr Ste 100, Upper Marlboro, MD 20774-4785 | 2019-06-28 |
| 1346798949 | Veronica Watkins | Social Worker | 9701 Apollo Dr Ste 100, Upper Marlboro, MD 20774-4785 | 2016-09-13 |
| 1376795492 | Natalie Nikole Hughes | Social Worker | 9701 Apollo Dr Ste 100, Upper Marlboro, MD 20774-4785 | 2008-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652702 | Waller Psychotherapy, LLC | Community/Behavioral Health | 11007 Sweet Apple Ct, Upper Marlboro, MD 20772-7103 | 2020-09-03 |
| 1730790221 | Creative Mind Therapy | Community/Behavioral Health | 12419 Dorsey Ln, Upper Marlboro, MD 20772 | 2020-08-10 |
| 1740827070 | Pathways, Inc. | Community/Behavioral Health | 6427 Crain Hwy, Upper Marlboro, MD 20772-4139 | 2019-12-05 |
| 1629612585 | Pathways, Inc | Community/Behavioral Health | 6427 Sw Crain Hwy, Upper Marlboro, MD 20772-4139 | 2019-11-04 |
| 1437711751 | Orchard Community Services LLC | Community/Behavioral Health | 2605 Beech Orchard Ln, Upper Marlboro, MD 20774-8851 | 2019-07-08 |
| 1134642622 | Green Circles LLC | Community/Behavioral Health | 4609 Penzance Pl, Upper Marlboro, MD 20772-6923 | 2017-07-17 |
| 1659817898 | Master Services, Inc. | Community/Behavioral Health | 7307 Gambier Dr, Upper Marlboro, MD 20772-4492 | 2017-01-11 |
| 1649729336 | Pathways Inc | Community/Behavioral Health | 14336 Old Marlboro Pike, Upper Marlboro, MD 20772-2840 | 2016-09-23 |
| 1699144402 | Willie Simmons | Community/Behavioral Health | 12500 Clearwater Way, Upper Marlboro, MD 20772-6600 | 2015-09-22 |
| 1255753646 | Transformation Counseling Services, LLC | Community/Behavioral Health | 4634 Colonel Fenwick Pl, Upper Marlboro, MD 20772-5940 | 2014-01-20 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.