SERENITY COUNSELING SERVICES PA
NPI 1275689812
Clinic/Center - Rehabilitation, Substance Use Disorder in Stuart, FL
About Serenity Counseling Services Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SERENITY COUNSELING SERVICES PA (NPI 1275689812) is a healthcare organization registered as a rehabilitation, substance use disorder in Stuart, Florida and active in the NPI registry since January 2007. The organization lists Gilda G Broadwell, Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Serenity Counseling Services Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Serenity Counseling Services PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Counseling Services PA's NPI number?
The NPI number for Serenity Counseling Services PA is 1275689812. It was assigned to this organization in the NPPES registry on January 26, 2007.
Where is Serenity Counseling Services PA located?
Serenity Counseling Services PA is located at 500 NW Dixie Hwy Suite 102, Stuart, FL 34994. The listed phone number is (772) 692-8585.
What is Serenity Counseling Services PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Is Serenity Counseling Services PA enrolled in Medicare?
Yes. Serenity Counseling Services PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Serenity Counseling Services PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychologist Billing Independently) reassigns their Medicare billing to Serenity Counseling Services PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Serenity Counseling Services PA was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Serenity Counseling Services Pa · NPI 1275689812
Rehabilitation, Substance Use Disorder organization in Stuart, Florida. Organization record, active in the CMS NPPES registry since January 26, 2007.
## Identity
- **NPI:** 1275689812 (Entity type: Organization)
- **Enumerated:** January 26, 2007
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Gilda Broadwell, PSYCHOLOGIST
## Practice location
- **Address:** 500 NW DIXIE HWY, SUITE 102, Stuart, FL 34994
- **Phone:** (772) 692-8585 · **Fax:** (772) 692-5651
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychologist Billing Independently) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 23, 2012
- **Other identifiers:** Other 15-43-AD-6204-00 (FL); Medicare ID-Type Unspecified 00039394
---
Source: [NPI Profile](https://npiprofile.com/npi/1275689812) · Data from the CMS NPPES public registry.