SERENITY COUNSELING SERVICE (NPI# 1497171763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497171763 |
| Entity Type | Organization |
| Organization Name | SERENITY COUNSELING SERVICE |
| Other Organization Name | SERENITY COUNSELING SERVICES |
| Practice Address |
1212 Faraon St Saint Joseph MO 64501-2310 |
| Practice Telephone | 8163643154 |
| Mailing Telephone | 8163643154 |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |
| Authorized Official Name | JACKIE D MOSER (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8163643154 |
| Authorized Official Credential | CRAADC, NCC, PLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2013030909 | MO | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
2013030909 | MO | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2013030909 | MO | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Serenity Counseling Services | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SERENITY COUNSELING SERVICES LLC | 5005 Pacific Hwy E Ste 20, Fife, WA 98424-2647 |
| Oregon Corporations, Companies and Business Names | SERENITY COUNSELING SERVICES LLC | 12540 Sw 68th Ave Ste R, Tigard, OR 97223 |
| Colorado Business Entities | Serenity Counseling Services PLLC | 3801 East Florida Avenue, Suite 400, Denver, CO 80120 |
| Connecticut Business Registrations | Serenity Counseling Services, LLC | 45 South Main Street, Suite 107, West Hartford, CT 06107 |
| Street Address |
1212 FARAON ST |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64501-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023359114 | B-in Motion Chiropractic, Inc | Chiropractor | 2202 Locust, St Joseph, MO 64501 | 2013-03-14 |
| 1801019518 | Dian R Banks | Counselor | 902 Edmond, Suite 204, St Joseph, MO 64501 | 2007-04-11 |
| 1750324745 | Family Guidance Center | Case Management | 510 Francis, Suite 200, Saint Joseph, MO 64501 | 2006-06-14 |
| 1932188919 | Matthew Robert Noyce | Dentist | 400 Jules St, Suite 440, St Joseph, MO 64501 | 2006-01-10 |
| 1629088398 | Roy Ronold Rubnke | Psychologist | 510 Francis, Ste 200, St Joseph, MO 64501 | 2006-08-08 |
| 1871514414 | William G Brown | Psychologist | 510 Francis, Ste 200, St Joseph, MO 64501 | 2006-07-21 |
| 1417978123 | Dan S Frydman | Social Worker | 510 Francis, Suite 200, St Jospeh, MO 64501 | 2006-07-21 |
| 1679590442 | Jennifer Ann Burhoop | Counselor | 510 Francis, Ste 200, St Joseph, MO 64501 | 2006-07-16 |
| 1932135787 | Luis H Schwarz | Psychiatry & Neurology | 510 Francis, Suite 200, Saint Joseph, MO 64501 | 2006-06-23 |
| 1356336804 | Chateau Place Inc | Nursing Facility/Intermediate Care Facility | 811 N 9th St, Saint Joseph, MO 64501-1651 | 2005-09-12 |
| Find all providers in zip 64501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
| 1386064251 | Grace Marie Carder | Counselor | 3500 Village Dr, G130, Saint Joseph, MO 64506-4979 | 2014-04-18 |
| 1114349636 | Jody Deboer | Counselor | 3500 Village Dr # Gl30, Saint Joseph, MO 64506-4979 | 2014-01-17 |
| 1144653130 | Alicia Victoria Demontegnac | Counselor | 4085 Ravina Ter, Saint Joseph, MI 49085-9655 | 2013-08-14 |
| 1114218807 | Beacon Counseling Center LLC | Counselor | 3665 S Lakeshore Dr, 3665 South Lakeshore Drive, Saint Joseph, MI 49085-8277 | 2011-04-28 |
| 1255622148 | Gayron W Haywood | Counselor | 3106 Pickett Rd, Saint Joseph, MO 64503-1426 | 2011-04-26 |
| 1275830093 | Shannon L Groh | Counselor | 830 Pleasant St Ste 201, Saint Joseph, MI 49085-2279 | 2011-02-14 |
| 1811049729 | Don-nee Elizabeth German | Counselor | 2600 Morton Ave, Saint Joseph, MI 49085-2141 | 2007-01-18 |
| 1912054651 | Joyce Elaine Mcvey | Counselor | 1018 W Saint Maartens Dr, Suite100, Saint Joseph, MO 64506-2988 | 2007-01-04 |
| 1629097134 | Marie Gene Arnold | Counselor | 2746 Fairleigh Ter, Saint Joseph, MO 64506-2870 | 2006-07-18 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64501 |
Please comment or provide details below to improve the information on SERENITY COUNSELING SERVICE.
| 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.