Serenity Life Coaches LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2005038996 Issued in MO

Legal business name

SERENITY LIFE COACHES LLC

Practice address

4650 S National Ave
Suite D-8
Springfield, MO 65810-2937

Phone

(417) 886-2944

Fax

(888) 843-0629

NPI assigned

Sep 22, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Shelah J Schenkel, LPC, NCCNPI 1982716510

Title

Owner

Phone

(417) 886-2944

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Shelah J Schenkel, M.A, LPC, NCC, DCEP

  • Professional Counselor
  • Springfield, MO
  • NPI 1982716510
  NPD (past) Authorized official

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1972886265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 S NATIONAL AVE",
            "address_2": "SUITE D-8",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102937",
            "telephone_number": "417-886-2944",
            "fax_number": "888-843-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 S NATIONAL AVE",
            "address_2": "SUITE D-8",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102937",
            "telephone_number": "417-886-2944",
            "fax_number": "888-843-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY LIFE COACHES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "SCHENKEL",
        "authorized_official_first_name": "SHELAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-886-2944",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2005038996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982716510",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.