Serenity Therapy Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SERENITY THERAPY SERVICES

Practice address

4607 Charlotte Hwy Ste 18
Lake Wylie, SC 29710-8149

Phone

(803) 620-5409

NPI assigned

Oct 14, 2020

Organization subpart

No

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

Authorized official

Name

Rodney Ballard

Title

Clinical Director

Phone

(803) 620-5777

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Michelle White, LCMHC

  • Mental Health Counselor
  • Lake Wylie, SC
  • NPI 1285225193
  NPD
• Christine Hogan, MA LPC LCAS CCS

  • Mental Health Counselor
  • Lake Wylie, SC
  • NPI 1558814533
  NPD (past)

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1568060291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 CHARLOTTE HWY STE 18",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297108149",
            "telephone_number": "803-620-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 CHARLOTTE HWY STE 18",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297108149",
            "telephone_number": "803-620-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "803-620-5777"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rodney@serenitytherapyservices.net",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "4607 Charlotte Hwy Ste 18",
            "city": "Lake Wylie",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297108149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carley Schron, PT, DPT
• Sabina Schuele
• Afton Scott
• Maureen Pilgrim Sell, CCC-SLP
• Michelle Marie Semidey, PT
• Christina T Shaffery, PT
• Katherine Hipps Skeen, AUD
• Christopher Andrew Snell, D.D.S.
• SRJ Creative Endeavors, LLC
• Elizabeth R Staines, PT

• Mental Health Counselor in Lake Wylie, SC
• Providers in Lake Wylie, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.