Organization Active NPI

Serene Serenity Massage LLC

  • Massage Therapist
  • San Marcos, TX
National Provider Identifier
1003645243
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SERENE SERENITY MASSAGE LLC
Practice address
1330 Aquarena Springs Dr Ste 109
San Marcos, TX 78666-7241
Phone
(512) 667-6666
NPI assigned
Jul 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Authorized official

Name
Yingzi Ghoushiasl
Title
Owner
Phone
(737) 239-2636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1330 Aquarena Springs Dr Ste 109
San Marcos, TX 78666-7241

Mailing address

1330 Aquarena Springs Dr Ste 109
San Marcos, TX 78666-7241
Phone (512) 667-6666

National Provider Directory

National Provider Directory

Locations

1330 Aquarena Springs Dr
Ste 109
San Marcos, TX 78666
Phone (512) 667-6666

NPI Registry JSON

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722038400000",
    "number": "1003645243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 AQUARENA SPRINGS DR STE 109",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667241",
            "telephone_number": "512-667-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 AQUARENA SPRINGS DR STE 109",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667241",
            "telephone_number": "512-667-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE SERENITY MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "GHOUSHIASL",
        "authorized_official_first_name": "YINGZI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "737-239-2636"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.