Serenity Therapy and Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SERENITY THERAPY AND WELLNESS LLC

Practice address

3920 E Patrick LN Ste D
Las Vegas, NV 89120-3927

Phone

(702) 351-7998

NPI assigned

May 7, 2024

Organization subpart

No

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

Authorized official

Name

Kevin Lanard Glass Jr.NPI 1750994208

Title

Owner

Phone

(702) 351-7998

Specialties & licenses 2

Addresses

Other names 1

• Serenity Therapy and Wellness LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 4

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

• Royal Bradley, APRN

  • Nurse Practitioner
  • Pahrump, NV
  • NPI 1043769185
  Medicare reassignment NPD
• Jezryl Celiz

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1801598610
  Medicare reassignment NPD
• Billy Escaba Leonardo, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Henderson, NV
  • NPI 1588174361
  Medicare reassignment NPD
• Kevin L Glass Jr.

  • Personal Care Attendant
  • Las Vegas, NV
  • NPI 1750994208
  NPD Authorized official

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1366290249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 CHASE ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890812667",
            "telephone_number": "702-351-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 E PATRICK LN STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203927",
            "telephone_number": "702-351-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LANARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-351-7998",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Therapy and Wellness LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Serenity Personal Care LLC
• Serenity Psychosocial Services
• Serenity S&C LLC
• Serenity Sands Hospice, LLC
• Serenity Spinal Care, LLC
• Serenity Therapy LLC
• Serenity Wellness Center of Las Vegas
• Serenity Wellness, LLC
• Serenitymed Solutions LLC
• Serenitymed Solutions, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.