=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467372573
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SERENITY WITHIN COUNSELING CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/18/2026
-----------------------------------------------------
Last Update Date | 07/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 60 WESTFIELD ST
-----------------------------------------------------
City | BARNWELL
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29812-6201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-398-6732
-----------------------------------------------------
Fax | 803-680-2564
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 60 WESTFIELD ST
-----------------------------------------------------
City | BARNWELL
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29812-6201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-398-6732
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | THERAPIST
-----------------------------------------------------
Name | JENNIFER MORGAN JOHNSON
-----------------------------------------------------
Credential | LPC, LAC
-----------------------------------------------------
Telephone | 803-398-6732
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------