SERENITY OUTREACH
NPI 1144550971
Counselor - Addiction (Substance Use Disorder) in Chino, CA
NPI Status: Active since December 29, 2009
Contact Information
5511 RIVERSIDE DR
CHINO, CA
ZIP 91710
Phone: (909) 464-0400
Fax: (909) 464-0433
- Organization
- Counselor
- Addiction (Substance Use Disorder)
- CLIA Number: 05D2172282
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 09-17-2027
About SERENITY OUTREACH
This page provides the complete NPI Profile along with additional information for Serenity Outreach, a provider established in Chino, California operating as a Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1144550971 assigned on December 2009. The practitioner's primary taxonomy code is 101YA0400X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Serenity Outreach. The authorized official of this NPI record is Tanisha Williams (Cfo/ Director Of Administration)
- NPI
- 1144550971
- Provider Legal Name
- MY BROTHER'S KEEPER
- Other Organization Name
- SERENITY OUTREACH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5511 RIVERSIDE DR CHINO, CA 91710
- Location Phone
- (909) 464-0400
- Location Fax
- (909) 464-0433
- Mailing Address
- 5511 RIVERSIDE DR CHINO, CA 91710
- Mailing Phone
- (909) 464-0400
- Mailing Fax
- (909) 464-0433
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-29-2009
- Last Update Date
- 12-29-2009
- Code Navigator
A Substance Abuse or Addiction Counselor like Serenity Outreach advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
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
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2172282
- Facility Type
- Practitioner Other
- Certificate Effective Date
- September 18, 2025
- Certificate Expiration Date
- September 17, 2027
- Laboratory Director
- ROLAND FUERTEZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Serenity Outreach to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1144550971, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144550971, enumerated as an "organization" on December 29, 2009.
The provider is located at 5511 RIVERSIDE DR CHINO, CA 91710 and the phone number is (909) 464-0400.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
