MEDICARE: SERENITY GRACE & JOY COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	171400000X	Health & Wellness Coach
4	251B00000X	Case Management Agency
5	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1659234458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY GRACE & JOY COUNSELING

Provider Business Mailing Address
First Line	:	62 SKYLARK RD
Second Line	:
City	:	SPRINGFIELD
State	:	NJ
Zip	:	07081-3626
Country	:	US
Telephone Number	:	973-294-4545
Fax Number	:

Provider Business Practice Location Address
First Line	:	62 SKYLARK RD
Second Line	:
City	:	SPRINGFIELD
State	:	NJ
Zip	:	07081-3626
Country	:	US
Telephone Number	:	973-294-4548
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOYCE WILLIAMS
Credential	:	LCSW
Telephone Number	:	973-294-4548

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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