Serenity Therapy LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SERENITY THERAPY LLC

Doing business as

Kayenta Therapy Center

Practice address

9414 W Lake Mead Blvd
Las Vegas, NV 89134-8312

Phone

(702) 878-0554

NPI assigned

May 9, 2014

Organization subpart

No

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

Authorized official

Name

Roberta Vande Voort, MFT

Title

Ceo

Phone

(702) 878-0554

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kayenta Therapy Center Doing business as

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1043621204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348312",
            "telephone_number": "702-878-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348312",
            "telephone_number": "702-878-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "VANDE VOORT",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-878-0554",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE PROVIDER TAXONOMY CODE SET",
            "identifier": "193400000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kayenta Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.