SERENITY SHIELD INC.
NPI 1154915122
Counselor - Mental Health in Chicago, IL

Q: What is Serenity Shield Inc.'s NPI number?

The NPI number for Serenity Shield Inc. is 1154915122. It was assigned to this organization in the NPPES registry on February 21, 2021.

Q: What is Serenity Shield Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since February 21, 2021

2 E ERIE ST APT 2712, CHICAGO, IL 60611(708) 657-5043(312) 643-1187 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2022, Feb 21, 2021 (2 updates tracked since 2021).

On this page

About Serenity Shield Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY SHIELD INC. (NPI 1154915122) is a healthcare organization registered as a mental health in Chicago, Illinois and active in the NPI registry since February 2021. The organization lists Derrick James Johnson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1154915122

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameSERENITY SHIELD INC.

Location Address2 E ERIE ST APT 2712Chicago, IL 60611-6211

Mailing Address2 E Erie StChicago, IL 60611-2724 · (708) 657-5043 · Fax (312) 643-1187

Phone(708) 657-5043

Fax(312) 643-1187

Organization SubpartNo

Authorized OfficialDerrick James JohnsonVice President · (708) 657-5043

Enumeration DateFebruary 21, 2021

Last NPPES UpdateFebruary 9, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2022

✔ NPI 1154915122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

2 E ERIE ST APT 2712, Chicago, IL 60611

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Shield Inc.'s NPI number?

The NPI number for Serenity Shield Inc. is 1154915122. It was assigned to this organization in the NPPES registry on February 21, 2021.

Where is Serenity Shield Inc. located?

Serenity Shield Inc. is located at 2 E Erie St Apt 2712, Chicago, IL 60611. The listed phone number is (708) 657-5043.

What is Serenity Shield Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Serenity Shield Inc. was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.