Organization Active NPI

Serenity Shores Counseling, LLC

  • Mental Health Counselor
  • Norton Shores, MI
National Provider Identifier
1225838923
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SERENITY SHORES COUNSELING, LLC
Practice address
800 E Ellis Rd # 61B
Norton Shores, MI 49441-5622
Phone
(616) 802-7596
NPI assigned
Mar 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Mrs. Nichole Danelle Kurth, LMSWNPI 1689733438
Title
Owner/Provider
Phone
(616) 802-7596

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

800 E Ellis Rd # 61B
Norton Shores, MI 49441-5622

Mailing address

800 E Ellis Rd # 61B
Norton Shores, MI 49441-5622
Phone (616) 802-7596

National Provider Directory

National Provider Directory

Locations

800 E Ellis Rd
#61B
Norton Shores, MI 49441
Phone (616) 802-7596

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1225838923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E ELLIS RD # 61B",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494415622",
            "telephone_number": "616-802-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E ELLIS RD # 61B",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494415622",
            "telephone_number": "616-802-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SHORES COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "KURTH",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "DANELLE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "616-802-7596",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.