Healthcare Provider Details

I. General information

NPI: 1811891906
Provider Name (Legal Business Name): SERENITY MENTAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5455 N SHERIDAN RD APT 3203
CHICAGO IL
60640-1942
US

IV. Provider business mailing address

5455 N SHERIDAN RD APT 3203
CHICAGO IL
60640-1942
US

V. Phone/Fax

Practice location:
  • Phone: 773-574-8407
  • Fax:
Mailing address:
  • Phone: 773-574-8407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: JESSICA BURNS
Title or Position: OWNER
Credential: APRN FNP-C PMHNP-BC
Phone: 773-574-8407