Organization Active NPI

Steps to Serenity

  • Adult Mental Health Clinic/Center
  • Panama City, FL
National Provider Identifier
1508551920
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Rebecca Kersten, LCSWNPI 1407410418
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)CodeLicenseStatePrimary
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, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Practitioners & 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.

Verify at the official NPI Registry.