Active NPI
Serenity Counseling Services and Therapeutic Martial Arts LLC
- Counselor
- Mason, MI
National Provider Identifier
1295220846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- SERENITY COUNSELING SERVICES AND THERAPEUTIC MARTIAL ARTS LLC
- Practice address
- 4420 W Columbia Rd
Mason, MI 48854-9551 - Phone
- (517) 537-2723
- NPI assigned
- Jun 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Beth Houpt
- Title
- Credentialing
- Phone
- (517) 676-9788
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Professional Counselor | 101YP2500X | 6401014374 | MI |
Addresses
Primary practice location
4420 W Columbia Rd
Mason, MI 48854-9551
Mailing address
PO Box 10
Mason, MI 48854-0010
National Provider Directory
National Provider DirectoryLocations
227 N Cedar St
Mason, MI 48854
4420 W Columbia Rd
Mason, MI 48854
Phone (517) 252-8688
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Mason, MI
- NPI 1467861880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643241600000",
"number": "1295220846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "MASON",
"state": "MI",
"postal_code": "488540010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 W COLUMBIA RD",
"city": "MASON",
"state": "MI",
"postal_code": "488549551",
"telephone_number": "517-537-2723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY COUNSELING SERVICES AND THERAPEUTIC MARTIAL ARTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-26",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A",
"authorized_official_last_name": "HOUPT",
"authorized_official_first_name": "MARY BETH",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "517-676-9788"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401014374",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mason, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.