Organization Active NPI

Serenity Counseling Center

  • Professional Counselor
  • Blue Ridge, VA
National Provider Identifier
1104121540
Registry record updated Jan 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004151 Issued in VA
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

Updated by the provider on Jan 16, 2011

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1699826941OtherVAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.