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SERENITY LANE
NPI 1467283069
Substance Abuse Rehabilitation Facility in Coburg, OR

Active since August 13, 2024
1 SERENITY LN, COBURG, OR 97408(541) 687-1110(541) 485-8484 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Serenity Lane NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY LANE (NPI 1467283069) is a healthcare organization registered as a substance abuse rehabilitation facility in Coburg, Oregon and active in the NPI registry since August 2024. The organization lists Brian Carlin, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1467283069
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSERENITY LANE
Location Address1 SERENITY LNCoburg, OR 97408-9350
Mailing Address1 Serenity LnCoburg, OR 97408-9350 · (541) 687-1110 · Fax (541) 485-8484
Phone(541) 687-1110
Fax(541) 485-8484
Organization SubpartNo
Authorized OfficialBrian CarlinChief Financial Officer · (541) 284-8617
Enumeration DateAugust 13, 2024
NPPES CertifiedAugust 13, 2024
✔ NPI 1467283069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1 SERENITY LN, Coburg, OR 97408
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0699643

Serenity Lane · Coburg, OR
Expired · Jul 29, 2026
CLIA Number38D0699643
Laboratory TypeOther
Certificate Effective DateJuly 30, 2024
Certificate Expiration DateJuly 29, 2026
Laboratory DirectorMike Dyer
Laboratory Phone(541) 687-1110
Laboratory LocationSerenity Lane1 Serenity Lane, Coburg, OR 97408
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMITT ADAIR QMHP, CADC III, SAP
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 284-8605
MASON ANTHONY MARIN CADC-R, CRM 1
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 606-3308
JENAE HULSEY KATELYN HULSEY
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110
JACLYN BOGNER MS
Counselor (Mental Health)
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110
SARAH ELIZABETH BUCK QMHA-R
Counselor (Mental Health)
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110
HEATHERANN CHARLENE HELMS CADCR
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 513-6855
CHRISTOPHER BOWLING
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110
HANNAH KREEGER
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Lane's NPI number?

The NPI number for Serenity Lane is 1467283069. It was assigned to this organization in the NPPES registry on August 13, 2024.

Where is Serenity Lane located?

Serenity Lane is located at 1 Serenity Ln, Coburg, OR 97408. The listed phone number is (541) 687-1110.

What is Serenity Lane's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Serenity Lane was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.