Healthcare Provider Details

I. General information

NPI: 1487518916
Provider Name (Legal Business Name): SERENITY MIND COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 THREE OAKS RD
CARY IL
60013-6127
US

IV. Provider business mailing address

572 N CLIFTON AVE
ELGIN IL
60123-3324
US

V. Phone/Fax

Practice location:
  • Phone: 312-772-6805
  • Fax:
Mailing address:
  • Phone: 312-772-6805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MISS MERCEDES CONUS
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LCPC
Phone: 630-995-2808