Organization Active NPI

Serenity Counseling, LLC

  • Professional Counselor
  • Radcliff, KY
National Provider Identifier
1023528437
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
169075 Issued in KY
Legal business name
SERENITY COUNSELING, LLC
Practice address
663 N Dixie Blvd Ste K
Radcliff, KY 40160-1376
Phone
(229) 343-1822
Fax
(502) 430-2416
NPI assigned
Oct 11, 2017
Last updated
Mar 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amanda J Lee-Degner, ED.D., LPCCNPI 1790176097
Title
Owner/Therapist
Phone
(229) 343-1822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 169075 KY Primary

Addresses

Primary practice location

663 N Dixie Blvd Ste K
Radcliff, KY 40160-1376

Mailing address

663 N Dixie Blvd Ste K
Radcliff, KY 40160-1376
Phone (229) 343-1822

National Provider Directory

National Provider Directory

Locations

663 N Dixie Blvd
Ste K
Radcliff, KY 40160
Phone (229) 343-1822

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1023528437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 N DIXIE BLVD STE K",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601376",
            "telephone_number": "229-343-1822",
            "fax_number": "502-430-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 N DIXIE BLVD STE K",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601376",
            "telephone_number": "229-343-1822",
            "fax_number": "502-430-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "LEE-DEGNER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "229-343-1822",
        "authorized_official_credential": "ED.D., LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "169075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Radcliff, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.