Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Serenity Shield Inc

Organization Mental Health Counselor · NPI 1154915122

Serenity Shield Inc is a Mental Health Counselor in Chicago, Illinois. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2 E Erie St Apt 2712
Chicago, IL 60611-6211
Phone: (708) 657-5043
Fax: (312) 643-1187
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1154915122
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derrick Johnson — Vice President · (708) 657-5043
NPI enumeratedFebruary 21, 2021
Last updated in NPPESFebruary 9, 2022
Certification dateFebruary 9, 2022
Mailing address2 E Erie St, Chicago, IL 60611-2724

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