Serenity Counseling & Mental Health Services

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SERENITY COUNSELING & MENTAL HEALTH SERVICES

Practice address

747 Patches
Carpenter, WY 82054-9403

Phone

(307) 509-9890

Fax

(307) 316-0469

NPI assigned

Jun 11, 2018

Last updated

Jun 11, 2018By 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

Ashley E Bolejack

Title

Owner

Phone

(307) 509-9890

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1902399389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 PATCHES",
            "city": "CARPENTER",
            "state": "WY",
            "postal_code": "820549403",
            "telephone_number": "307-509-9890",
            "fax_number": "307-316-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 PATCHES",
            "city": "CARPENTER",
            "state": "WY",
            "postal_code": "820549403",
            "telephone_number": "307-509-9890",
            "fax_number": "307-316-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COUNSELING & MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "BOLEJACK",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-509-9890"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn M Beck, MHA, CSW, CAP
• Elaine Joyce Gerrish, MS, CCC/SLP
• Misty Ann Jackson
• Kelsie Leigh Michael
• Michelle Christie Michael

• Multi-Specialty Clinic/Center in Carpenter, WY
• Providers in Carpenter, WY by specialty
• Multi-Specialty Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.