Organization Active NPI

Serenity Pathway LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1003604570
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SERENITY PATHWAY LLC
Practice address
2715 W Northern Ave Ste 105
Phoenix, AZ 85051-6641
Phone
(503) 707-2637
NPI assigned
Apr 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Rafael LeahuNPI 1497641336
Title
Owner
Phone
(503) 707-2637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2715 W Northern Ave Ste 105
Phoenix, AZ 85051-6641

Mailing address

5260 W Melinda LN
Glendale, AZ 85308-9304
Phone (503) 707-2637

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2331562Serenity Pathway LLC2715 W Northern Ave, Phoenix, AZ 85051Certificate of waiverOct 2, 2027

National Provider Directory

National Provider Directory

Locations

2715 W Northern Ave
Ste 105
Phoenix, AZ 85051
Phone (503) 707-2637

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1003604570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5260 W MELINDA LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089304",
            "telephone_number": "503-707-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 W NORTHERN AVE STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850516641",
            "telephone_number": "503-707-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PATHWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "LEAHU",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-707-2637"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.