Active NPI
Serenity Counseling, LLC
- Professional Counselor
- Radcliff, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 169075
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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., LPCC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Professional Counselor
- Rineyville, KY
- NPI 1790176097
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.