Serenity Life Resource Center Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SERENITY LIFE RESOURCE CENTER INC

Practice address

4835 Shawnee Dr
Kansas City, KS 66106-3712

Phone

(913) 777-6655

Fax

(888) 521-8029

NPI assigned

Feb 5, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Ann Russell, LCPC, LPC, NCCNPI 1952792574

Title

Executive Director

Phone

(913) 777-6655

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Elizabeth Russell, LCPC, LPC, NCC

  • Professional Counselor
  • Kansas City, KS
  • NPI 1952792574
  NPD (past) Authorized official

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1578062592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 SHAWNEE DR",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661063712",
            "telephone_number": "913-777-6655",
            "fax_number": "888-521-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 SHAWNEE DR",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661063712",
            "telephone_number": "913-777-6655",
            "fax_number": "888-521-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY LIFE RESOURCE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "913-777-6655",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Semet
• Linda Guadalupe Sepulveda, PSYD
• Serc Rehabilitation Partners LLC
• Thomas J Serena, DO, MA
• Serenity Counseling and Wellness Center
• John D Serfas, MD
• Erasmo I Serrano, MD
• Lonell Servos
• Alexandra Kristen Serzyski, LMSW
• Dylan Trent Severson, DNP, APRN, FNP-BC

• Professional Counselor in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.