Active NPI
Simply Serene Detox and Recovery Center LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Mesa, AZ
National Provider Identifier
1326838038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- SIMPLY SERENE DETOX AND RECOVERY CENTER LLC
- Practice address
- 947 E Impala Ave
Mesa, AZ 85204-6619 - Phone
- (602) 756-9798
- NPI assigned
- May 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Ndungu
- Title
- Ceo
- Phone
- (508) 615-7980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
947 E Impala Ave
Mesa, AZ 85204-6619
Mailing address
947 E Impala Ave
Mesa, AZ 85204-6619
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2330478 | Simply Serene Detox & Recovery Center | Certificate of waiver | Sep 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
947 E Impala Ave
Mesa, AZ 85204
Phone (602) 756-9798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746576000000",
"number": "1326838038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "947 E IMPALA AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852046619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "947 E IMPALA AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852046619",
"telephone_number": "602-756-9798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLY SERENE DETOX AND RECOVERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-07",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A",
"authorized_official_last_name": "NDUNGU",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "508-615-7980"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Simply Mobile Diagnostic Imaging LLC
- Simply Rooted Speech & Wellness LLC
- Simply Serene Behavioral Health LLC (Simply Serene Wellness Center)
- Simply Serene Behavioral Health LLC (Simply Serene Wellness Center)
- Simply Serene Crisis Center LLC
- James Simpson, MSPC, LAC
- Cortez D. Sims, DOCTOROF PHILOSOPHY
- Ebony Sims
- Lanasjanique Coreyanna Sims
- Latasha Sims
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.