Organization Active NPI

Serenity Life Counseling

  • Substance Abuse Rehabilitation Facility
  • Anaheim, CA
National Provider Identifier
1821327503
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300218AP Issued in CA
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

Updated by the provider on Jan 10, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.