JOURNEY TO SERENITY NPI 1114796612

NPI Information

  • NPI: 1114796612
  • Provider Name: JOURNEY TO SERENITY
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 429 E VERMONT ST STE L019
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (317) 795-4067

Map and Directions

Get Directions

NPI Details

JOURNEY TO SERENITY is a psychiatric/mental health nurse practitioner in Indianapolis, IN. JOURNEY TO SERENITY NPI is 1114796612. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

429 E VERMONT ST STE L019
INDIANAPOLIS, IN
ZIP 46202-690
Phone: (317) 795-4067
Fax: (949) 695-2782

The provider's authorized official is Zacia Green .
The authorized official title is Pmhnp-bc and has the following contact phone number (317) 332-2918.

The enumeration date for this NPI number is 12/26/2023 and was last updated on 12/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI