Organization Active NPI

Golden Valley Serenity Spa, LLC

  • Massage Therapist
  • Clinton, MO
National Provider Identifier
1245185479
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
GOLDEN VALLEY SERENITY SPA, LLC
Practice address
116 W Jefferson St
Clinton, MO 64735-2061
Phone
(660) 885-3885
NPI assigned
Mar 3, 2026
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Jane Harrison
Title
Massage Therapy
Phone
(660) 885-3885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

116 W Jefferson St
Clinton, MO 64735-2061

Mailing address

116 W Jefferson St
Clinton, MO 64735-2061
Phone (660) 885-3885

National Provider Directory

National Provider Directory

Locations

116 W Jefferson St
Clinton, MO 64735
Phone (660) 885-3885

NPI Registry JSON

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1245185479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W JEFFERSON ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352061",
            "telephone_number": "660-885-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W JEFFERSON ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352061",
            "telephone_number": "660-885-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VALLEY SERENITY SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "MASSAGE THERAPY",
        "authorized_official_telephone_number": "660-885-3885"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.