Serenity Solutions, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6909 Issued in OH

Legal business name

SERENITY SOLUTIONS, LLC

Practice address

140 Fox Rd
Suite 303
Van Wert, OH 45891-2475

Phone

(419) 232-6010

Fax

(419) 232-6012

NPI assigned

Apr 10, 2013

Last updated

Apr 10, 2013By 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

Kathy Marie Carr, PH.D.NPI 1114287240

Title

Ceo

Phone

(419) 232-6010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 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.

• Kathy Marie Carr, PH.D.

  • Psychologist
  • Van Wert, OH
  • NPI 1114287240
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1487097317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FOX RD",
            "address_2": "SUITE 303",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912475",
            "telephone_number": "419-232-6010",
            "fax_number": "419-232-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 FOX RD",
            "address_2": "SUITE 303",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912475",
            "telephone_number": "419-232-6010",
            "fax_number": "419-232-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-232-6010",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly A Schultz
• Alissia Beth Schumacher, PHARMD
• Lindsey N Schumm
• Heather L Scully
• Samantha Sellers
• Angela Kay Shaw
• Christina Shepherd, LMT
• Molly Elizabeth Shepherd, MSW, LISW
• Billie Sherman, RBT
• Katlyn Short, MSW, LISW-S

• Psychologist in Van Wert, OH
• Providers in Van Wert, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.