Organization Active NPI

Serenity Counseling PC

  • Community/Behavioral Health Agency
  • Milton Freewater, OR
National Provider Identifier
1225401151
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
115331191 Issued in OR
Legal business name
SERENITY COUNSELING PC
Practice address
1253 Stonewood CT
Milton Freewater, OR 97862-1067
Phone
(541) 969-4070
Fax
(541) 215-1718
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Miss Sarah Hsu, LCSWNPI 1750462917
Title
President
Phone
(541) 969-4070

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
Community/Behavioral Health Agency 251S00000X 115331191 OR Primary

Addresses

Primary practice location

1253 Stonewood CT
Milton Freewater, OR 97862-1067

Mailing address

1253 Stonewood CT
Milton Freewater, OR 97862-1067
Phone (541) 969-4070

Other identifiers 1

IdentifierTypeStateIssuer
1225401151OtherMEDICARE

National Provider Directory

National Provider Directory

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": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1225401151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 STONEWOOD CT",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978621067",
            "telephone_number": "541-969-4070",
            "fax_number": "541-215-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 STONEWOOD CT",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978621067",
            "telephone_number": "541-969-4070",
            "fax_number": "541-215-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-969-4070",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "115331191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1225401151",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton Freewater, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.