Serenity Counseling Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

SERENITY COUNSELING SERVICES

Practice address

5113 Pacific Hwy E
Suite3
Fife, WA 98424-2659

Phone

(253) 922-0229

Fax

(253) 926-4183

NPI assigned

Mar 31, 2007

Organization subpart

No

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

Authorized official

Name

Jo Ann Cristal, MA, CDP

Title

Administrator

Phone

(253) 922-0229

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1174643183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 PACIFIC HWY E",
            "address_2": "SUITE3",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984242659",
            "telephone_number": "253-922-0229",
            "fax_number": "253-926-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 PACIFIC HWY E",
            "address_2": "SUITE3",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984242659",
            "telephone_number": "253-922-0229",
            "fax_number": "253-926-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "CRISTAL",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "253-922-0229",
        "authorized_official_credential": "MA, CDP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADICTION SUBSTANCE ABUSE",
            "identifier": "101YA0400X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine L Scott, RDH
• Krystal R Scott, LPN
• Paul Scott
• Stephen Searight
• Serenity Atlas Counseling LLC
• Serenity Counseling Services
• Dea Set
• Andra Shinaul, LMT
• Michelle Rene Showalter
• Christy Shutt

• Addiction (Substance Use Disorder) Counselor in Fife, WA
• Providers in Fife, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.