NPIMap

Organization Active NPI

Serenity Ranch Wellness, PLLC

  • Professional Counselor
  • Conroe, TX
National Provider Identifier
1346940160
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SERENITY RANCH WELLNESS, PLLC
Practice address
902 N San Jacinto St
Conroe, TX 77301-2522
Phone
(936) 333-2653
Fax
(936) 494-3104
NPI assigned
Mar 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Mrs. Elizabeth Cox, LMFT, LPCNPI 1801489984
Title
Owner
Phone
(936) 333-2653

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
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

902 N San Jacinto St
Conroe, TX 77301-2522

Mailing address

1814 Red Oak Dr
Conroe, TX 77301-4812
Phone (951) 805-1362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240118004057 TX Part B Supplier - Clinic/Group Practice 9335591908 Receives reassigned benefits from 6 practitioners
Practice locations: Conroe, TX

National Provider Directory

National Provider Directory

Locations

902 N San Jacinto St
Ofc
Conroe, TX 77301
Phone (936) 529-0374

902 N San Jacinto St
Conroe, TX 77301
Phone (936) 333-2653

Practitioners & affiliated clinicians

Practitioners 8

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": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1346940160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 RED OAK DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773014812",
            "telephone_number": "951-805-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N SAN JACINTO ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012522",
            "telephone_number": "936-333-2653",
            "fax_number": "936-494-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY RANCH WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-333-2653",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.