Serenity Rebuild Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SERENITY REBUILD THERAPY

Practice address

4791 S Crossroads Dr
Washington, UT 84780-3047

Phone

(406) 431-0893

NPI assigned

Mar 25, 2024

Last updated

Mar 25, 2024By 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

Carrie Ovard, LCMHCNPI 1841663721

Title

Owner

Phone

(406) 431-0893

Specialties & licenses 1

Addresses

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.

• Carrie Lynn Ovard, MS, LCMHC

  • Professional Counselor
  • Washington, UT
  • NPI 1841663721

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1740030436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4791 S CROSSROADS DR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847803047",
            "telephone_number": "406-431-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4791 S CROSSROADS DR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847803047",
            "telephone_number": "406-431-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY REBUILD THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "OVARD",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-431-0893",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Lynn Sanders, FNP-C
• Tyler James Scales
• Jamie Sceili
• Sean Schexnayder, D.M.D
• Aaron Schimbeck
• Naomi Anna Sharp, MSN, FNP-C
• Taylor Anderson Shuman
• Signature Home Health St.George, LLC (Signature Healthcare at Home)
• Signature Hospice St.George, LLC (Signature Healthcare at Home)
• Jessica T Simons, PHD

• Mental Health Counselor in Washington, UT
• Providers in Washington, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.