Country Serenity Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COUNTRY SERENITY COUNSELING LLC

Practice address

10603 Southfork Rd
Dillsboro, IN 47018-8853

Phone

(812) 667-2978

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Debra Marie Marsh Niccum, MSW

Title

Owner Counselor

Phone

(812) 667-2978

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295951333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10603 SOUTHFORK RD",
            "city": "DILLSBORO",
            "state": "IN",
            "postal_code": "470188853",
            "telephone_number": "812-667-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10603 SOUTHFORK RD",
            "city": "DILLSBORO",
            "state": "IN",
            "postal_code": "470188853",
            "telephone_number": "812-667-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY SERENITY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSH NICCUM",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER COUNSELOR",
        "authorized_official_telephone_number": "812-667-2978",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L Baldwin, COTA
• Patricia Brown-Grayson, APRN
• Anne Catherine Brown, MD
• Rachel Noel Busch, PHARMD
• Dillsboro Emergency Ambulance Unit, Inc.
• Meghann Louise Hall
• Healthcare Centers of Indiana, LLC
• Mayank Jain, PT
• Jamma R Kelly

• Mental Health Counselor in Dillsboro, IN
• Providers in Dillsboro, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.