Serene Shores, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SERENE SHORES, LLC

Practice address

75 Court Circle SE
Camdenton, MO 65020

Phone

(573) 216-3052

NPI assigned

Oct 26, 2018

Organization subpart

No

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

Authorized official

Name

Collette Palmer, LPCNPI 1427464700

Title

Owner

Phone

(573) 216-3052

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Collette Palmer, LPC

  • Professional Counselor
  • Camdenton, MO
  • NPI 1427464700
  NPD (past) Authorized official

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1922575125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1136",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650201136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 COURT CIRCLE SE",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "65020",
            "telephone_number": "573-216-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE SHORES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "COLLETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-216-3052",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saharah, P.C.
• Savannah Counseling LLC
• School District R- 3 Camdenton
• Diana Meade Scoggin, OD
• Leanna Scott, LMSW
• Sheppard Counseling LLC
• Audrey Dawn Sheppard, PLPC
• Linda Susan Sheriff, SPEECH-LANGUAGE PATH
• Gabriel Vincent Skiba, DO
• Isaac A Southwick

• Professional Counselor in Camdenton, MO
• Providers in Camdenton, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.