Active NPI
Steps to Serenity
- Adult Mental Health Clinic/Center
- Panama City, FL
National Provider Identifier
1508551920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- STEPS TO SERENITY
- Practice address
- 1501 Cherry St
Panama City, FL 32401-4013 - Phone
- (920) 450-8002
- NPI assigned
- Apr 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Kersten, LCSW
- Title
- LCSW
- Phone
- (920) 450-8002
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
1501 Cherry St
Panama City, FL 32401-4013
Mailing address
PO Box 3
Panama City, FL 32402-0003
Phone (920) 450-8002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230621000532 | WI | Part B Supplier - Clinic/Group Practice | 1759749963 |
Receives reassigned benefits from 1 practitioner Practice locations: Appleton, WI |
| O20240821003682 | FL | Part B Supplier - Clinic/Group Practice | 1759749963 |
Receives reassigned benefits from 1 practitioner Practice locations: Panama City, FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721260800000",
"number": "1508551920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324020003",
"telephone_number": "920-450-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 CHERRY ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324014013",
"telephone_number": "920-450-8002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPS TO SERENITY",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-11",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A",
"authorized_official_last_name": "KERSTEN",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "LCSW",
"authorized_official_telephone_number": "920-450-8002",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.