Organization Active NPI

Serenity Counseling Advocates, Inc.

  • Community/Behavioral Health Agency
  • Van Buren, AR
National Provider Identifier
1124156856
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0019L Issued in AR
Legal business name
SERENITY COUNSELING ADVOCATES, INC.
Practice address
3103 Alma Hwy
Van Buren, AR 72956-5027
Phone
(479) 410-1716
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Parker, LADAC, ACADC, SAP
Title
Chief Executive Officer
Phone
(479) 410-4716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0019L AR Primary

Addresses

Primary practice location

3103 Alma Hwy
Van Buren, AR 72956-5027

Mailing address

3103 Alma Highway
Van Buren, AR 72956
Phone (479) 410-1716

Other names 1

  • Credit Counseling Advocates, Inc. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124156856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 ALMA HIGHWAY",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "72956",
            "telephone_number": "479-410-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 ALMA HWY",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565027",
            "telephone_number": "479-410-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COUNSELING ADVOCATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "479-410-4716",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADAC, ACADC, SAP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": "0019L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Credit Counseling Advocates, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.