| Serenity Behavioral Health Services, Inc. | |
|
623 Park Meadow Rd Ste H Westerville OH 43081-2876 | |
| (614) 774-1120 | |
| (614) 774-1120 |
| Full Name | Serenity Behavioral Health Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 623 Park Meadow Rd Ste H, Westerville, Ohio |
| Authorized Official Name and Position | Mary K Wright (CEO) |
| Authorized Official Contact | 6147741120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Behavioral Health Services, Inc. 623 Park Meadow Rd Ste H Westerville OH 43081-2876 Ph: (614) 774-1120 | Serenity Behavioral Health Services, Inc. 623 Park Meadow Rd Ste H Westerville OH 43081-2876 Ph: (614) 774-1120 |
| NPI Number | 1952729477 |
|---|---|
| Provider Enumeration Date | 04/01/2014 |
| Last Update Date | 08/03/2023 |
| Certification Date | 08/03/2023 |
| Medicare PECOS PAC ID | 6002164845 |
|---|---|
| Medicare Enrollment ID | O20180809005613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952729477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I 0009736 (Ohio) | Primary |
| Provider Name | Mary Kathryn Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083761597 PECOS PAC ID: 8224072673 Enrollment ID: I20050616000102 |
| Provider Name | Sara Elizabeth Matlack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306247754 PECOS PAC ID: 9234494014 Enrollment ID: I20180525002101 |
| Provider Name | Christal Mendenhall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871030155 PECOS PAC ID: 7618306390 Enrollment ID: I20200331003130 |
| Provider Name | Bailey Belknap |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497201776 PECOS PAC ID: 1254750482 Enrollment ID: I20201007001588 |
| Provider Name | Megan E Campagna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780053074 PECOS PAC ID: 9830518000 Enrollment ID: I20201007003369 |
| Provider Name | Jenifer Sparks Schaffner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871965111 PECOS PAC ID: 1456771344 Enrollment ID: I20201014002483 |
| Provider Name | Ingrid Christina Benyaminowich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790345742 PECOS PAC ID: 7618307091 Enrollment ID: I20210415000748 |
| Provider Name | Linda S Strapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346365830 PECOS PAC ID: 2567861586 Enrollment ID: I20210608003386 |
| Provider Name | Megan Sickles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659998615 PECOS PAC ID: 9234508029 Enrollment ID: I20221219000819 |
| Provider Name | Nellimaria Lavalle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194327007 PECOS PAC ID: 4284007584 Enrollment ID: I20230308000584 |
| Provider Name | Aida Diallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619533205 PECOS PAC ID: 8820443211 Enrollment ID: I20231004002059 |
| Provider Name | Caitlin Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689210288 PECOS PAC ID: 1951751056 Enrollment ID: I20240102003535 |
| Provider Name | Marshall L. Myers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871077131 PECOS PAC ID: 8527418516 Enrollment ID: I20240103002939 |
| Provider Name | Elizabeth M Mannon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386161339 PECOS PAC ID: 6709237498 Enrollment ID: I20240106000813 |
| Provider Name | Patricia A. Ringold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578767109 PECOS PAC ID: 5597117689 Enrollment ID: I20240112004087 |
| Provider Name | Pamela Irene Hirt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760884241 PECOS PAC ID: 8527403633 Enrollment ID: I20240228003793 |
| Provider Name | Eric Clontz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528576048 PECOS PAC ID: 1658718838 Enrollment ID: I20240322003834 |
| Provider Name | Marjorie A Price |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306377676 PECOS PAC ID: 4183062227 Enrollment ID: I20240409000926 |
| Provider Name | Gerald Fralick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447721956 PECOS PAC ID: 7618318437 Enrollment ID: I20240510002471 |
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