Serenity Outpatient Services, PLLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SERENITY OUTPATIENT SERVICES, PLLC

Practice address

3013 N Highway 167 Ste B
Catoosa, OK 74015-3348

Phone

(918) 640-9002

Fax

(918) 739-3068

NPI assigned

Jul 12, 2019

Last updated

Jul 12, 2019By 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

Betty Hull, LPC

Title

Therapist

Phone

(918) 640-9002

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1972155695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 N HIGHWAY 167 STE B",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740153348",
            "telephone_number": "918-640-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 N HIGHWAY 167 STE B",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740153348",
            "telephone_number": "918-640-9002",
            "fax_number": "918-739-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY OUTPATIENT SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "918-640-9002",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200378170B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda N Rupe
• Serena Christine Sanchez
• Emily Marie Sanders
• Megan Schmoker, O.D.
• Presley Sellers
• Allyson Danielle Sharp
• Courtney Raellen Shelby
• Denario Mikal Shoates
• Ce'Gon Shoeleh
• Slade Taylor Shuck, DMD

• Counselor in Catoosa, OK
• Providers in Catoosa, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.