Serenity PA Psychiatric Services PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

SERENITY PA PSYCHIATRIC SERVICES PLLC

Practice address

5904 Pine Tree CT
Raleigh, NC 27609-4244

Phone

(910) 802-0979

Fax

(919) 583-6411

NPI assigned

Oct 9, 2025

Organization subpart

No

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

Authorized official

Name

Kristine Ashton, PANPI 1477976512

Title

PA

Phone

(910) 802-0979

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristine Ashton, PA

  • Physician Assistant
  • Raleigh, NC
  • NPI 1477976512
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1245105048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 PINE TREE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094244",
            "telephone_number": "910-802-0979",
            "fax_number": "919-583-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 PINE TREE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094244",
            "telephone_number": "910-802-0979",
            "fax_number": "919-583-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PA PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "ASHTON",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "910-802-0979",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Serenity Outpatient Therapy Associates, PLLC
• Serenity Place Intervention Center, Inc (Spic Medical Equipment Supply)
• Serenity Place Intervention Center, Inc (Spic Medical Equipment Supply)
• Serenity Psychiatry of Raleigh, PLLC
• Serenity Seven Care Solutions LLC
• Heather Anne Serrano, AUD

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.