Organization Active NPI

Serenity Family Therapy Inc

  • Marriage & Family Therapist
  • Bremerton, WA
National Provider Identifier
1437703261
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SERENITY FAMILY THERAPY INC
Practice address
7500 Old Military Rd NE Ste 103
Bremerton, WA 98311-3242
Phone
(360) 698-9258
Fax
(360) 698-9296
NPI assigned
Jul 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Authorized official

Name
Somer Lynn Radvanyi, LMFT
Title
Mental Health Therapist
Phone
(360) 698-9258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

7500 Old Military Rd NE Ste 103
Bremerton, WA 98311-3242

Mailing address

7500 Old Military Rd NE Ste 103
Bremerton, WA 98311-3242
Phone (360) 698-9258

Other identifiers 1

IdentifierTypeStateIssuer
1861691842OtherWASOMER LYNN RADVANYI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Bremerton Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1437703261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 OLD MILITARY RD NE STE 103",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113242",
            "telephone_number": "360-698-9258",
            "fax_number": "360-698-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 OLD MILITARY RD NE STE 103",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113242",
            "telephone_number": "360-698-9258",
            "fax_number": "360-698-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "RADVANYI",
        "authorized_official_first_name": "SOMER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "360-698-9258",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOMER LYNN RADVANYI",
            "identifier": "1861691842",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bremerton",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7500 Old Military Rd NE Ste 103",
            "city": "Bremerton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983113242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.