Organization Active NPI

Beyond Serenity Counseling LLC

  • Adult Mental Health Clinic/Center
  • Grand Junction, CO
National Provider Identifier
1194236729
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MH14254 Issued in FL
Legal business name
BEYOND SERENITY COUNSELING LLC
Practice address
619 Main St
Grand Junction, CO 81501-2774
Phone
(561) 570-4099
NPI assigned
Oct 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Jessica BoffNPI 1376053165
Title
Owner
Phone
(561) 570-4099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MH14254 FL Primary

Addresses

Primary practice location

619 Main St
Grand Junction, CO 81501-2774

Mailing address

619 Main St
Grand Junction, CO 81501-2774
Phone (561) 570-4099

Other practice location 1

801 Northpoint Pkwy Ste 88
West Palm Beach, FL 33407-1812
Phone (561) 570-4099

National Provider Directory

National Provider Directory

Locations

801 Northpoint Pkwy
Ste 88
West Palm Beach, FL 33407
Phone (561) 570-4099

Practitioners & affiliated clinicians

Practitioners 1

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": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1194236729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 MAIN ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012774",
            "telephone_number": "561-570-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 MAIN ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012774",
            "telephone_number": "561-570-4099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Northpoint Pkwy Ste 88",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334071812",
            "country_code": "US",
            "telephone_number": "561-570-4099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEYOND SERENITY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "BOFF",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-570-4099"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "MH14254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.