Active NPI
Serenity Counseling Center
- Professional Counselor
- Blue Ridge, VA
National Provider Identifier
1104121540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004151
- Legal business name
- SERENITY COUNSELING CENTER
- Practice address
- 4542 Blue Ridge Blvd
Blue Ridge, VA 24064-1820 - Phone
- (540) 977-2181
- Fax
- (540) 977-2183
- NPI assigned
- Jan 16, 2011
- 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
- Angela Anderson Stroop
- Title
- Director of Counseling Services
- Phone
- (540) 977-2181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004151 | VA | Primary |
Addresses
Primary practice location
4542 Blue Ridge Blvd
Blue Ridge, VA 24064-1820
Mailing address
4542 Blue Ridge Blvd
Blue Ridge, VA 24064-1820
Phone (540) 977-2181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699826941 | Other | VA | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryLocations
4542 Blue Ridge Blvd
Blue Ridge, VA 24064
Phone (540) 977-2181
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Millboro, VA
- NPI 1699826941
-
- Mental Health Counselor
- Roanoke, VA
- NPI 1104265941
-
- School Psychologist
- Blue Ridge, VA
- NPI 1710377122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295136000000",
"number": "1104121540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4542 BLUE RIDGE BLVD",
"city": "BLUE RIDGE",
"state": "VA",
"postal_code": "240641820",
"telephone_number": "540-977-2181",
"fax_number": "540-977-2183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4542 BLUE RIDGE BLVD",
"city": "BLUE RIDGE",
"state": "VA",
"postal_code": "240641820",
"telephone_number": "540-977-2181",
"fax_number": "540-977-2183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-16",
"last_updated": "2011-01-16",
"status": "A",
"authorized_official_last_name": "ANDERSON STROOP",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "DIRECTOR OF COUNSELING SERVICES",
"authorized_official_telephone_number": "540-977-2181"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1699826941",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blue Ridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.