SERENITY PRESERVED COUNSELING PLLC (NPI# 1295377687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295377687 |
Entity Type | Organization |
Organization Name | SERENITY PRESERVED COUNSELING PLLC |
Practice Address |
21448 N. 75th Avenue Ste G Glendale AZ 85308 |
Mailing Address |
19141 N. 84th St Peona AZ 85382 |
Practice Telephone | 6025961127 |
Practice Fax Number | 8558740967 |
Mailing Telephone | 6023910512 |
Enumeration Date | 2019-10-17 |
Last Update Date | 2019-10-17 |
Authorized Official Name | MR. PAUL EDWARD BLEIKAMP (CO-OWNER) |
Authorized Official Telephone | 6023910512 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
21448 N. 75TH AVENUE STE G |
City | GLENDALE |
State | AZ |
Zip Code | 85308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
1760901375 | Western Medical LLC | Internal Medicine | 21554 N 57th Ave, Glendale, AZ 85308 | 2017-09-14 |
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Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
1871144535 | Nicole Gordon | Counselor | 7609 W Rovey Ave, Glendale, AZ 85303-4250 | 2019-09-24 |
1407338379 | Henry Marshal Tyler | Counselor | 2505 Canada Blvd Ste 2, Glendale, CA 91208-2089 | 2018-09-06 |
1346737111 | Janet Ohanian | Counselor | 915 N Glendale Ave, Glendale, CA 91206-2130 | 2018-04-17 |
1881193175 | Robin Lynn Puckett | Counselor | 17505 N 79th Ave Ste 311g, Glendale, AZ 85308-8730 | 2018-02-01 |
1538667142 | Chelsea Rae Zendarski | Counselor | 6445 W Maryland Ave Apt 3, Glendale, AZ 85301-3738 | 2018-01-29 |
1487165031 | Sofia Elvira Philips | Counselor | 18275 N 59th Ave Ste K-164, Glendale, AZ 85308-1260 | 2017-10-21 |
1417301086 | Kristi Proch | Counselor | 21448 N 75th Ave, Suite 11, Glendale, AZ 85308-5978 | 2016-04-20 |
1831557065 | Arnitta Holliman | Counselor | 6789 N Green Bay Ave # U14, Glendale, WI 53209-3472 | 2016-02-02 |
1366828279 | Kathryn Atha | Counselor | 6425 W Montego Ln, Glendale, AZ 85306-3145 | 2015-08-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.