SERENITY THERAPEUTIC COUNSELING SERVICES (NPI# 1881969459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881969459 |
Entity Type | Organization |
Organization Name | SERENITY THERAPEUTIC COUNSELING SERVICES |
Practice Address |
1612 Mcguckian Ave Suite 3 Annapolis MD 21401-4024 |
Mailing Address |
1901 Mcguckian Ave 110 Annapolis MD 21401 |
Practice Telephone | 4433339340 |
Mailing Telephone | 4433339340 |
Enumeration Date | 2012-03-15 |
Last Update Date | 2012-03-28 |
Authorized Official Name | KENDRA LORRAINE JACKSON (CLINICAL DIRECTOR/THERAPIST) |
Authorized Official Telephone | 4433339340 |
Authorized Official Credential | LCPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LC4153 | MD | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 0459291-00 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Serenity Therapeutic Counseling Services LLC | 236 Mustang Trl Ste 103, Virginia Beach, Virginia 23452-7517 |
Street Address |
1612 MCGUCKIAN AVE SUITE 3 |
City | ANNAPOLIS |
State | MD |
Zip Code | 21401-4024 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
Find all providers in zip 21401 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508417759 | Timothy Lee Mewmaw | Counselor | 700 Melvin Ave Ste 5, Annapolis, MD 21401-1506 | 2019-09-27 |
1063903722 | Gail Bowles | Counselor | 133 Defense Hwy Ste 210, Annapolis, MD 21401-8907 | 2018-05-29 |
1295246718 | Safe Harbor Behavioral Care Chesapeake LLC | Counselor | 108 Old Solomons Island Rd Unit 5, Annapolis, MD 21401-3845 | 2017-10-24 |
1063891109 | Laura Wanderling | Counselor | 1843 Lindamoor Dr, Annapolis, MD 21401-1039 | 2015-05-21 |
1609264506 | Rickie Phillips | Counselor | 201 Medical Parkway, Annapolis, MD 21401 | 2014-12-30 |
1689921371 | Jane Spell | Counselor | 884 Chesterfield Rd, Annapolis, MD 21401-7049 | 2012-08-13 |
1437461308 | Gwen Marie Condon | Counselor | 8 Leeward Ct, Annapolis, MD 21403-3489 | 2010-07-08 |
1942523816 | Rebecca J Bickel | Counselor | 1056 Pinecrest Dr, Annapolis, MD 21403-4253 | 2010-03-08 |
1942534409 | James A Stafford | Counselor | 102 Old Solomons Island Rd, Suite 202, Annapolis, MD 21401-3816 | 2009-09-30 |
1356575930 | Pamela Sue Lowe | Counselor | 1200 West St, Annapolis, MD 21401-3610 | 2009-05-11 |
Find all providers in ANNAPOLIS |
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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.