Serenity Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SERENITY COUNSELING LLC

Practice address

3829 71St St Ste B1
Urbandale, IA 50322-3263

Phone

(515) 954-7811

Fax

(515) 706-3402

NPI assigned

Mar 30, 2021

Last updated

Sep 22, 2022By 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

Mrs. Sharaine M Webster, LISW, IADC

Title

Therapist/ Owner

Phone

(515) 954-7811

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1891373122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8156",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503018156",
            "telephone_number": "641-233-8879",
            "fax_number": "515-462-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 71ST ST STE B1",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223263",
            "telephone_number": "515-954-7811",
            "fax_number": "515-706-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "SHARAINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THERAPIST/ OWNER",
        "authorized_official_telephone_number": "515-954-7811",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW, IADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12398268",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA BOARD OF CERTIFICATION",
            "identifier": "17002",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA SOCIAL WORK BOARD/ BEHAVIORAL HEALTH",
            "identifier": "083321",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Urbandale, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.