Organization Active NPI

Serene Psychotherapy

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1346586294
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11175 Issued in CO
Legal business name
SERENE PSYCHOTHERAPY
Practice address
1776 S Jackson St
Suite 207
Denver, CO 80210-3801
Phone
(720) 346-8557
Fax
(972) 736-2271
NPI assigned
Dec 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Authorized official

Name
Sara Nasrin Yazdi, LPC
Title
Provider/Owner
Phone
(720) 346-8557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 11175 CO Primary

Addresses

Primary practice location

1776 S Jackson St
Suite 207
Denver, CO 80210-3801

Mailing address

1776 S Jackson St
Suite 207
Denver, CO 80210-3801
Phone (720) 346-8557

National Provider Directory

National Provider Directory

Locations

1776 S Jackson St
Ste 207
Denver, CO 80210
Phone (303) 550-0030

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1346586294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST",
            "address_2": "SUITE 207",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103801",
            "telephone_number": "720-346-8557",
            "fax_number": "972-736-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST",
            "address_2": "SUITE 207",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103801",
            "telephone_number": "720-346-8557",
            "fax_number": "972-736-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "YAZDI",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "NASRIN",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "720-346-8557",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "11175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.