Serenity Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SERENITY COUNSELING SERVICES LLC

Practice address

112 Office Park Dr
Columbia, KY 42728-1380

Phone

(270) 864-1625

Fax

(270) 864-1624

NPI assigned

Sep 21, 2016

Last updated

Apr 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Stapleton

Title

Contracting Director

Phone

(270) 380-1093

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 8

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.

• Cecelia Dawn Bunch, LPCC

  • Mental Health Counselor
  • Burkesville, KY
  • NPI 1407258981
  Medicare reassignment Care Compare group NPD
• Kimberly Gose, LPCC

  • Professional Counselor
  • Columbia, KY
  • NPI 1407335664
  Medicare reassignment Care Compare group NPD
• Ashley Hardwick, LPCC, CADC

  • Mental Health Counselor
  • Columbia, KY
  • NPI 1861680597
  Medicare reassignment Care Compare group NPD
• Tonya Nicole Keen Glover, LCSW

  • Clinical Social Worker
  • Columbia, KY
  • NPI 1477295657
  Medicare reassignment Care Compare group NPD
• Martha Ann Pearson, LPCC

  • Mental Health Counselor
  • Columbia, KY
  • NPI 1073980173
  Medicare reassignment Care Compare group NPD
• Teina R Thrasher, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Monticello, KY
  • NPI 1124618665
  Medicare reassignment Care Compare group NPD
• Jodi Martin, LPCC

  • Professional Counselor
  • Columbia, KY
  • NPI 1548358252
  Medicare reassignment NPD
• Tonya Rena Hadley, LPCC

  • Professional Counselor
  • Louisa, KY
  • NPI 1356897854
  NPD (past)

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1407304298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427280091",
            "telephone_number": "270-864-1625",
            "fax_number": "270-864-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 OFFICE PARK DR",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281380",
            "telephone_number": "270-864-1625",
            "fax_number": "270-864-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "STAPLETON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CONTRACTING DIRECTOR",
        "authorized_official_telephone_number": "270-380-1093"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommie A Saragas, LPCC
• Charlene Scott
• Jennifer Nicole Sebastian, LPCC
• Blakesley Rae Selby, APRN
• John Thomas Selman III, ATC, LAT
• Danielle Nicole Sharp
• Robert S. Shipp, M.D.
• Thomas Richard Simac
• Gary Simons
• Molly Slusher

• Mental Health Counselor in Columbia, KY
• Providers in Columbia, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.