Active NPI
Serenity Life Counseling
- Substance Abuse Rehabilitation Facility
- Anaheim, CA
National Provider Identifier
1821327503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 300218AP
- Legal business name
- SERENITY LIFE COUNSELING
- Practice address
- 2024 W Lincoln Ave Ste 6
Anaheim, CA 92801-5382 - Phone
- (714) 533-2900
- NPI assigned
- Dec 9, 2009
- 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
- Eric McCoy
- Title
- Owner
- Phone
- (714) 533-2900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 300218AP | CA | Primary |
Addresses
Primary practice location
2024 W Lincoln Ave Ste 6
Anaheim, CA 92801-5382
Mailing address
2024 W Lincoln Ave Ste 6
Anaheim, CA 92801-5382
National Provider Directory
National Provider DirectoryLocations
2024 W Lincoln Ave
Ste 6
Anaheim, CA 92801
Phone (714) 533-2900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326153600000",
"number": "1821327503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 W LINCOLN AVE STE 6",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928015382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 W LINCOLN AVE STE 6",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928015382",
"telephone_number": "714-533-2900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY LIFE COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-09",
"last_updated": "2012-01-10",
"status": "A",
"authorized_official_last_name": "MCCOY",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-533-2900"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "300218AP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.