Serenity Lighthouse Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4565 Issued in ID

Legal business name

SERENITY LIGHTHOUSE COUNSELING

Practice address

2498 N Stokesberry PL Ste 100
Meridian, ID 83646-5842

Phone

(208) 939-6267

NPI assigned

Mar 14, 2016

Organization subpart

No

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

Authorized official

Name

Katy Simmons

Title

Billing/Credentialing

Phone

(208) 452-6580

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Joy Kaplan-Rood, LPC

  • Community/Behavioral Health Agency
  • Nampa, ID
  • NPI 1164834123
  NPD (past)
• Aileen R Roberts, MS, LPC, NCC

  • Professional Counselor
  • Boise, ID
  • NPI 1922346576
  NPD (past)

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1821459272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2498 N STOKESBERRY PLACE #100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83646",
            "telephone_number": "208-939-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2498 N STOKESBERRY PL STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465842",
            "telephone_number": "208-939-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY LIGHTHOUSE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "208-452-6580"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "4565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922346576",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesley Adam Semonchuk
• Jennifer Sengelmann, LMSW
• Mark Senior, NCC, ACADC
• Serenity Life (Comfort Keepers)
• Serenity Life Dba Comfort Keepers
• Serenity Neuropsychology, PLLC (Serenity Neuropsychology & Counseling)
• Serenity Now Counseling Services
• Serenity Springs Wellness, PLLC
• Vincent Joseph Serio III, MD
• Shaliese McKinney Sermon, RDN

• Mental Health Counselor in Meridian, ID
• Providers in Meridian, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.