Serenity Road Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SERENITY ROAD COUNSELING LLC

Practice address

1775 Browning Way Ste 102
Elko, NV 89801-8338

Phone

(775) 388-9851

Fax

(775) 204-2202

NPI assigned

Nov 15, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Janice M Brizee Johnston, LCSWNPI 1649917998

Title

Licensed Clinical Social Worker

Phone

(775) 388-9851

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janice M Brizee Johnston, LCSW

  • Clinical Social Worker
  • Elko, NV
  • NPI 1649917998
  NPD Authorized official

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1376368381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 592",
            "city": "CARLIN",
            "state": "NV",
            "postal_code": "898220592",
            "telephone_number": "775-388-9851",
            "fax_number": "775-204-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 BROWNING WAY STE 102",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018338",
            "telephone_number": "775-388-9851",
            "fax_number": "775-204-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY ROAD COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "BRIZEE JOHNSTON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "775-388-9851",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Schmueser
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• Sandra Schroeder
• Duncan Timothy Secor, DPT
• Christa Elizabeth Secord, FNP-C
• Melissa Sestanovich, PT, DPT
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• Clinical Social Worker in Elko, NV
• Providers in Elko, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.