Serendipity Counseling Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SERENDIPITY COUNSELING CENTER

Practice address

131 N Main St Ste K
Marysville, OH 43040-1191

Phone

(937) 441-3448

NPI assigned

Feb 5, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Jean M Shoemaker, LISW-SNPI 1154391282

Title

Owner

Phone

(937) 441-3448

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jean M Shoemaker, LISW-S RPT-S

  • Clinical Social Worker
  • Marysville, OH
  • NPI 1154391282
  Authorized official Same address or phone

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1356806251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 DEER CROSSING DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430409384",
            "telephone_number": "937-441-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N MAIN ST STE K",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401191",
            "telephone_number": "937-441-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENDIPITY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-441-3448",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0333892",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Sue Seckel, MSPT
• Tesla Skye Seebach, QMHS BACHELORS
• Brian S Seifferth, MD
• Ermias Seleshi, MD, MPH
• Seravision Inc.
• Michael Shaffer, MD
• Shimul Y Shah, O.D.
• Stephanie Renee Shampel, FNP- BC
• Jerome Shapiro
• Angela Kay Sharp, RN

• Clinical Social Worker in Marysville, OH
• Providers in Marysville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.