SERENITY COUNSELING SERVICES PA – Substance Use Disorder Rehabilitation Clinic/Center, NPI 1275689812

SERENITY COUNSELING SERVICES PA is a healthcare provider. based in Stuart, Florida. specializing in Substance Use Disorder Rehabilitation Clinic/Center. The organization holds a License No. PY5591 (FL). The NPI Number for SERENITY COUNSELING SERVICES PA is 1275689812

Main info

Organization
Name
SERENITY COUNSELING SERVICES PA
NPI
1275689812
Phone
(772) 692-8585
Address
500 NW DIXIE HWY
Authorized Official
GILDA G BROADWELL PSYCHOLOGIST PHD
Enumeration Date
26 January 2007
Last Update Date
23 October 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for SERENITY COUNSELING SERVICES PA

  • Riverview Cosmetic & Restorative Dentistry, 500, Northwest Dixie Highway, Stuart, Martin County, Florida, 34994, United States

    SUITE 102

    STUART, FL 34994

    Phone: (772) 692-8585

    Fax: (772) 692-5651

    Type: Location

  • Stuart Post Office, 801, Southeast Johnson Avenue, Stuart, Martin County, Florida, 34994, United States

    STUART, FL 34995

    Phone: (772) 692-8585

    Fax: (772) 692-5651

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040805001562OClinic/Group PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34994)

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Reviews

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Frequently asked questions

What number should I use to identify SERENITY COUNSELING SERVICES PA for billing?
Administrative and clinical systems typically use NPI 1275689812 for SERENITY COUNSELING SERVICES PA.
Is SERENITY COUNSELING SERVICES PA currently accepting referrals based on NPI status?
Registry metadata lists SERENITY COUNSELING SERVICES PA as active.
What does the directory say SERENITY COUNSELING SERVICES PA does?
Insurance directories may phrase it differently, but here SERENITY COUNSELING SERVICES PA maps to Substance Use Disorder Rehabilitation Clinic/Center. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SERENITY COUNSELING SERVICES PA?
SERENITY COUNSELING SERVICES PA is associated with Stuart, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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