Serene Attachments Therapy PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SERENE ATTACHMENTS THERAPY PLLC

Practice address

160 Division St Ste E
Coldwater, MI 49036-2914

Phone

(517) 677-0848

NPI assigned

Apr 29, 2021

Last updated

May 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander Fry, MA, LMFTNPI 1326690108

Title

Marriage and Family Therapist

Phone

(517) 677-0848

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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.

• Alexander Eliot Fry, LMFT

  • Marriage & Family Therapist
  • Coldwater, MI
  • NPI 1326690108
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1114500964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 DIVISION ST STE E",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362914",
            "telephone_number": "517-677-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 DIVISION ST STE E",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362914",
            "telephone_number": "517-677-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE ATTACHMENTS THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "517-677-0848",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Scott
• Sean P Groves (Great Lakes Chiropractic)
• Gladys Jewel Seedorf, MSW, LCSW
• Select Health, P.C.
• John Cleary Sennish, M.D.
• Nicholas E Shafto
• Chris Shaman
• Emily Shamp, COTA
• Angela D Shedd, RDH
• Valerie A. Shedd, RNC, MSN

• Community/Behavioral Health Agency in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.