Serenity Mountain Therapy LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SERENITY MOUNTAIN THERAPY LLC

Practice address

2243 Main Ave
Durango, CO 81301-4699

Phone

(720) 383-4886

NPI assigned

Nov 5, 2024

Organization subpart

No

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

Authorized official

Name

Haley Wiedenman, LPCNPI 1073278875

Title

Owner

Phone

(720) 480-0710

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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.

• Haley Lucille Wiedenman, MA, LPCC

  • Mental Health Counselor
  • Durango, CO
  • NPI 1073278875
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1972326288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SIERRA DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018319",
            "telephone_number": "720-480-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 MAIN AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014699",
            "telephone_number": "720-383-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MOUNTAIN THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "WIEDENMAN",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-480-0710",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten L. Searfus, M.D.
• Nancy J Secor Brunk, MA
• Seek & Find Balance Behavioral Health LLC
• Julie Seibel
• Thomas Sellers, L.AC. DIPL OM
• Morgan Seymour, LCSW
• Thomas S Seymour, PHD
• SF Longmont PC (Durango OMS)
• Elizabeth Forrest Shackford, LCSW
• Holly D Sharp

• Adult Mental Health Clinic/Center in Durango, CO
• Providers in Durango, CO by specialty
• Adult Mental Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.