SERENITY PLACE (NPI# 1477810893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477810893 |
| Entity Type | Organization |
| Organization Name | SERENITY PLACE |
| Other Organization Name | NCADD |
| Practice Address |
101 Manchester St Manchester NH 03101-2205 |
| Practice Telephone | 6036256980 |
| Practice Fax Number | 6036256982 |
| Mailing Telephone | 6036256980 |
| Mailing Fax Number | 6036256982 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |
| Authorized Official Name | SHARON DRAKE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6039256980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| NCADD | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467998468 | Serenity Place | Community/Behavioral Health | 22530 Washington St, Suite 1, Leonardtown, MD 20650-3898 | 2017-01-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SERENITY PLACE | 216 S Clinton St, Grand Ledge, MI 48837-2071 |
| Virginia Business Entities | Serenity Place Alpacas LLC | 258 Sandy Bay Rd, Williamsburg, Virginia 23185-2335 |
| Alabama Business Registrations | Serenity Place Co., LLC | 113 Woodland Road, Bessemer, AL 35020 |
| Connecticut Business Registrations | SERENITY PLACE LLC | 1771 Post Rd E #205, Westport, CT 06880 |
| Virginia Business Entities | Serenity Place LLC | 230 High St, La Crosse, Virginia 23950-1801 |
| Washington State Corporations | SERENITY PLACE OUTREACH SERVICES | 720 E 48th St, Tacoma, WA 98404 |
| Street Address |
101 MANCHESTER ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03101-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912446998 | Carol Ann Steeves | Counselor | 101 Manchester St, Manchester, NH 03101-2205 | 2017-02-23 |
| 1033668702 | Michael Babineau | Counselor | 101 Manchester St, Manchester, NH 03101-2205 | 2016-09-23 |
| 1922410588 | Rebecca Richards | Case Manager/Care Coordinator | 101 Manchester St, Manchester, NH 03101-2205 | 2014-05-29 |
| 1023428810 | Sernity Place | Case Manager/Care Coordinator | 101 Manchester St, Manchester, NH 03101-2205 | 2014-05-01 |
| 1699025304 | Linda B Fry | Counselor | 101 Manchester St, Manchester, NH 03101-2205 | 2012-09-11 |
| 1174887145 | Kelly Marie Reardon | Counselor | 101 Manchester St, Manchester, NH 03101-2205 | 2012-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320425 | Miranda Sherburne | Occupational Therapist | 470 Pine Street, Manchester, NH 03101 | 2017-11-21 |
| 1396266938 | Juliette W Daniels | Social Worker | 464 Chestnut Street, Child and Family Services, Manchester, NH 03101 | 2017-07-05 |
| 1851820450 | Samantha Ysabelle Kattiria | Specialist/Technologist | 39 Kosciuszko Street, Apt 4, Manchester, NH 03101 | 2017-06-07 |
| 1598121188 | Angelique Alicia Fortin | Counselor | 77 Pearl St., Manchester, NH 03101 | 2016-01-12 |
| 1578946786 | Reta Goldman | Counselor | 25 Lowell St Ste 208, Manchester, NH 03101 | 2015-07-07 |
| 1306239207 | Myra Jean Nikitas | Dental Hygienist | 97 West Merrimack Street, Manchester, NH 03101 | 2015-03-17 |
| 1902234586 | Judith Patrick Ronshagen | Pharmacist | 175 Queen City Avenue, Ste 1, Manchester, NH 03101 | 2013-10-17 |
| 1942566336 | Elizabeth Zavagnin | Specialist | 2 Wall St Ste 200, Manchester, NH 03101 | 2012-04-10 |
| 1538463088 | William Gerald Mccormick | Pharmacist | 175 Queen City Ave, Manchester, NH 03101 | 2010-12-27 |
| 1215241799 | Melissa Ann Dinoto | Counselor | 20 Market St., Manchester, NH 03101 | 2010-07-27 |
| Find all providers in zip 03101 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659879500 | New Paths Counseling and Recovery Services | Community/Behavioral Health | 25 Lowell St Ste 203, Manchester, NH 03101-1647 | 2018-01-25 |
| 1053761270 | Waters Edge Therapy, Inc | Community/Behavioral Health | 127 Worthing Rd, Manchester, ME 04351-3234 | 2016-06-18 |
| 1821400888 | Emdr Training Center LLC | Community/Behavioral Health | 11 Hassam Ct, Manchester, MO 63021-5105 | 2014-05-27 |
| 1053740662 | Mike Lewis | Community/Behavioral Health | 604 College St, Manchester, TN 37355-1769 | 2013-11-04 |
| 1831534213 | Dickerson Enterprise LLC | Community/Behavioral Health | 872 Vernon St, Manchester, CT 06042-2415 | 2013-04-30 |
| 1932386463 | Family Strategies and Services | Community/Behavioral Health | 117 Market St, Manchester, NH 03101-1933 | 2008-01-28 |
| 1437209749 | Delaware County Community Life | Community/Behavioral Health | 601 Grant Street, Manchester, IA 52057-2005 | 2007-01-11 |
| 1225659956 | Extended Family Care LLC | Community/Behavioral Health | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2020-05-05 |
| 1629620976 | Del Marillac Counseling Services, Pllc | Community/Behavioral Health | 35 High St, Manchester, NH 03104-6116 | 2019-07-16 |
| 1205305497 | Elevate Counseling Services LLC | Community/Behavioral Health | 341 Bidwell St, Manchester, CT 06040-6470 | 2018-11-16 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03101 |
Please comment or provide details below to improve the information on SERENITY PLACE.
| 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.