SERENITY PRESERVED COUNSELING PLLC


Address: 21448 N. 75th Avenue Ste G, Glendale, AZ 85308
Phone: 6025961127

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 21448 N. 75TH AVENUE STE G
City GLENDALE
State AZ
Zip Code 85308

Providers in the same zip code

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 Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City GLENDALE
Zip Code 85308

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Dataset Information

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.

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