SERENITY CENTER OF YOUNGSTOWN (NPI# 1093257529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093257529 |
| Entity Type | Organization |
| Organization Name | SERENITY CENTER OF YOUNGSTOWN |
| Practice Address |
8440 Market St Boardman OH 44512-6702 |
| Practice Telephone | 3309659999 |
| Practice Fax Number | 3307570000 |
| Mailing Telephone | 3309659999 |
| Mailing Fax Number | 3307570000 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2017-04-25 |
| Authorized Official Name | MR. RANDY PERKINS (CREDENTIALING & CONTRACTING COORD) |
| Authorized Official Telephone | 3309659999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 14088 | OH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0134669 | 05 | |
| OH | TYPE 95 NPI | 1093257529 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154863975 | Serenity Center of Youngstown | Community/Behavioral Health | 8440 Market St, Boardman, OH 44512-6702 | 2016-11-10 |
| Street Address |
8440 MARKET ST |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-6702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871085910 | Melanie Eileen Nelson | Licensed Practical Nurse | 8440 Market St, Boardman, OH 44512-6703 | 2018-06-05 |
| 1750870333 | Kimberly Ann Szabo | Nurse Practitioner | 8440 Market St, Boardman, OH 44512-6703 | 2018-05-09 |
| 1396232088 | Alison Bingham | Licensed Practical Nurse | 8440 Market St, Boardman, OH 44512-6703 | 2018-04-18 |
| 1083130124 | Julie Birchler | Licensed Practical Nurse | 8440 Market St, Boardman, OH 44512-6702 | 2017-08-21 |
| 1144764044 | Ava Jessup-fields | Counselor | 8440 Market St, Boardman, OH 44512-6702 | 2016-12-12 |
| 1154863975 | Serenity Center of Youngstown | Community/Behavioral Health | 8440 Market St, Boardman, OH 44512-6702 | 2016-11-10 |
| 1801348909 | Christina Lori Sebring | Counselor | 8440 Market St, 8440 Market St., Boardman, OH 44512-6702 | 2016-10-25 |
| 1154712693 | Jacob Telego | Counselor | 8440 Market St, Boardman, OH 44512-6702 | 2015-02-05 |
| 1174762140 | Shirley Ann Mcintosh | Nurse Practitioner | 8440 Market St, Boardman, OH 44512-6703 | 2009-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| 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 |
|---|---|---|---|---|
| 1194277814 | Scott R Ruch | Community/Behavioral Health | 104 Sw. Kinkade Rd, Boardman, OR 97818 | 2016-10-28 |
| 1699039487 | Center for Behavioral Health, Inc | Community/Behavioral Health | 725 Boardman-canfield Rd. Bldg. D, Boardman, OH 44512 | 2012-06-27 |
| 1154863975 | Serenity Center of Youngstown | Community/Behavioral Health | 8440 Market St, Boardman, OH 44512-6702 | 2016-11-10 |
| 1396293239 | New Day Recovery, LLC | Community/Behavioral Health | 960 Boardman Canfield Rd, Boardman, OH 44512-4220 | 2016-09-21 |
| 1306234653 | The Knapp Center for Childhood Development | Community/Behavioral Health | 950 Windham Ct Ste 4, Boardman, OH 44512-5083 | 2015-01-08 |
| 1477808640 | Center for Behavioral Health, Inc. | Community/Behavioral Health | 725 Boardman Canfield Rd Ste D, Boardman, OH 44512-4381 | 2012-07-13 |
| 1699052191 | Knapp Center for Childhood Development | Community/Behavioral Health | 950 Windham Ct, Ste 4, Boardman, OH 44512-5083 | 2011-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436185 | Jermane L Belton | Community/Behavioral Health | 1007 E Crosier St, Akron, OH 44306-1538 | 2020-10-29 |
| 1942800065 | In Balance Counseling LLC | Community/Behavioral Health | 13 E Main St Ste 4, Hudson, OH 44236-3061 | 2020-10-28 |
| 1831799246 | Serenity Springs Clinical Counseling LLC | Community/Behavioral Health | 5913 Pineville Dr, Grove City, OH 43123-2568 | 2020-10-27 |
| 1891393328 | Hws Best Health LLC | Community/Behavioral Health | 3878 Old Hickory Ave Nw, Canton, OH 44718-3871 | 2020-10-16 |
| 1437757143 | Executive Heritage's Assisted Living, Inc | Community/Behavioral Health | 4050 Executive Park Dr Ste 240, Cincinnati, OH 45241-2094 | 2020-10-14 |
| 1649878885 | Transformative Solutions LLC | Community/Behavioral Health | 3454 Oak Alley Ct Ste 404, Toledo, OH 43606-1355 | 2020-10-10 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1720695943 | Eleven 11 Behavioral Solutions | Community/Behavioral Health | 79 Verdin Ct, Gahanna, OH 43230-6714 | 2020-09-30 |
| 1326654641 | Tiffany Hopkins Online Counseling LLC | Community/Behavioral Health | 4342 Carthel Dr, Liberty Twp, OH 45011-2316 | 2020-09-22 |
| 1326654740 | Justin's Love Home Health Agency | Community/Behavioral Health | 17325 Euclid Ave Ste 2017, Cleveland, OH 44112-1250 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
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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.