Organization Active NPI

Serenity Stables Foundation; a Fence of Recovery

  • Peer Specialist
  • Elizabeth, CO
National Provider Identifier
1225928914
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
SERENITY STABLES FOUNDATION; A FENCE OF RECOVERY
Practice address
46751 County Road 17
Elizabeth, CO 80107-9616
Phone
(605) 731-9015
NPI assigned
Jul 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Gerald Mrasak
Title
President
Phone
(605) 731-9015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

46751 County Road 17
Elizabeth, CO 80107-9616

Mailing address

46751 County Road 17
Elizabeth, CO 80107-9616
Phone (605) 731-9015

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1225928914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46751 COUNTY ROAD 17",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801079616",
            "telephone_number": "605-731-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46751 COUNTY ROAD 17",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801079616",
            "telephone_number": "605-731-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY STABLES FOUNDATION; A FENCE OF RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-06",
        "status": "A",
        "authorized_official_last_name": "MRASAK",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-731-9015"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.