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MS. SERENITY MADAJAH RENEE GREENE SUDPT, AAC
NPI 1710750062
Peer Specialist in Lynnwood, WA

Active since October 30, 2023
3924 204TH ST SW, LYNNWOOD, WA 98036(206) 972-0332 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2024, Oct 30, 2023 (2 updates tracked since 2023).

About Ms. Serenity Madajah Renee Greene Sudpt, Aac NPPES

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

MS. SERENITY MADAJAH RENEE GREENE SUDPT, AAC (NPI 1710750062) is an individual peer specialist in Lynnwood, Washington, licensed in Washington (CG61541361) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1710750062
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMS. SERENITY MADAJAH RENEE GREENECredential: SUDPT, AAC
Location Address3924 204TH ST SWLynnwood, WA 98036-6863
Mailing Address3924 204th St SwLynnwood, WA 98036-6863 · (206) 972-0332
Phone(206) 972-0332
Sole ProprietorNo
Enumeration DateOctober 30, 2023
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1710750062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in WA · CG61541361
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 61361890 (WA)
3924 204TH ST SW, Lynnwood, WA 98036
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Other Providers at the Same Location NPPES 14

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

MIKAELA STINE MA
Counselor (Mental Health)
3924 204TH ST SW
LYNNWOOD, WA 98036
Snohomish County (206) 362-7282
LYDIA BROOKE EL YOUNSI-STEELE
Counselor
3924 204TH ST SW
LYNNWOOD, WA 98036
Snohomish County (206) 362-7282
NINA RAE BARKMANN BSW
Social Worker (Clinical)
3924 204TH ST SW
LYNNWOOD, WA 98036
Snohomish County (206) 362-7282
JERIN MICHELLE BAKER
Peer Specialist
3924 204TH ST SW
LYNNWOOD, WA 98036
Snohomish County (206) 362-7282
CROSBY RECOVERY CENTER
Counselor (Addiction (Substance Use Disorder))
3924 204TH ST SW
LYNNWOOD, WA 98036
Snohomish County (425) 774-2955
DENISE A HOTCHKISS-YUSE
Peer Specialist
3924 204TH ST SW
LYNNWOOD, WA 98036
Snohomish County (206) 362-7282
OLIVIA MICHELLE HUNTZINGER
Counselor
3924 204TH ST SW
LYNNWOOD, WA 98036
Snohomish County (206) 362-7282
LEAH ZERFOSS
Student in an Organized Health Care Education/Training Program
3924 204TH ST SW
LYNNWOOD, WA 98036
Snohomish County (425) 349-6200

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 Greene's NPI number?

The NPI number for Serenity Greene is 1710750062. It was assigned to this individual provider in the NPPES registry on October 30, 2023.

Where is Serenity Greene located?

Serenity Greene practices at 3924 204th St SW, Lynnwood, WA 98036. The listed phone number is (206) 972-0332.

What is Serenity Greene's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Serenity Greene was last updated on August 7, 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.