COUNTRY SERENITY COUNSELING LLC (NPI# 1295951333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295951333 |
Entity Type | Organization |
Organization Name | COUNTRY SERENITY COUNSELING LLC |
Practice Address |
10603 Southfork Rd Dillsboro IN 47018-8853 |
Practice Telephone | 8126672978 |
Mailing Telephone | 8126672978 |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. DEBRA MARIE MARSH NICCUM (OWNER COUNSELOR) |
Authorized Official Telephone | 8126672978 |
Authorized Official Credential | MSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
10603 SOUTHFORK RD |
City | DILLSBORO |
State | IN |
Zip Code | 47018-8853 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699086066 | Suzette Alene Mathes | Occupational Therapy Assistant | 12083 Lenover St, Dillsboro, IN 47018 | 2010-06-30 |
1497066872 | Mayank Jain | Physical Therapist | 12803 Lenover Street, The Waters of Dillsboro-ross, Dillsboro, IN 47018 | 2010-06-30 |
1891832911 | Anne Catherine Brown | Family Medicine | 12827 Lenover St, Dillsboro, IN 47018 | 2007-01-30 |
1912053067 | Randall P Leduc | Internal Medicine | 12930 North Street, Dillsboro, IN 47018 | 2007-01-25 |
1710090287 | Dillsboro Emergency Ambulance Unit, Inc. | Ambulance | 13036 North St., Dillsboro, IN 47018 | 2006-08-17 |
1720322514 | Brian White | Physical Therapist | 12803 Lenover Street, Dillsboro, IN 47018 | 2012-11-16 |
1356654727 | Christopher Alvin Wilhelm | Physical Therapy Assistant | 12803 Lenover Street, The Waters of Dillsboro-ross, Dillsboro, IN 47018 | 2010-07-14 |
1265743629 | Abhilekh Thakur | Physical Therapist | 12803 Lenover Street, Dillsboro, IN 47018 | 2010-06-30 |
1659463610 | Camille Deville Boyken | Pharmacist | 12836 North St, Dillsboro, IN 47018 | 2006-09-28 |
1225241474 | Healthcare Centers of Indiana, LLC | Skilled Nursing Facility | 12803 Lenover St, Dillsboro, IN 47018-0037 | 2007-05-07 |
Find all providers in zip 47018 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831269455 | Deborah Ann Sinclair | Counselor | 12380 North St, Dillsboro, IN 47018-8407 | 2006-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174124648 | Sedonia Counseling Services, LLC | Counselor | 10812 Cardinal Cir, Plymouth, IN 46563-7968 | 2020-11-02 |
1902406747 | Abigail A Campbell | Counselor | 2660 Sea Biscuit Ln, Kokomo, IN 46901-5093 | 2020-10-30 |
1477153914 | Beverli D Mason | Counselor | 10231 Chris Dr, Indianapolis, IN 46229-1875 | 2020-10-26 |
1902404619 | Dana Lynn Samardzich | Counselor | 439 Scarborough Rd, Valparaiso, IN 46385-8008 | 2020-10-14 |
1326646647 | Elizabeth Labriola | Counselor | 1406 E Joliet St, Crown Point, IN 46307-4724 | 2020-10-09 |
1518564335 | Samantha Carter | Counselor | 5532 Wegg Ave, East Chicago, IN 46312-3941 | 2020-10-05 |
1215534037 | Jonathan Royce Vandervlugt | Counselor | 9614 Granada Ct Apt 111, Crown Point, IN 46307-2161 | 2020-10-05 |
1376150656 | Shelia Hall | Counselor | 7422 Carnation Ln, Indianapolis, IN 46214-1066 | 2020-09-30 |
1629685011 | Miosha Williams | Counselor | 7434 Whitcomb St Apt C, Merrillville, IN 46410-4491 | 2020-09-29 |
1720695273 | Sunnie Allen | Counselor | 498 Nw 18th St Bldg 417, Richmond, IN 47374-2851 | 2020-09-29 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.