Organization Active NPI

Serenity Minds Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marysville, WA
National Provider Identifier
1386598969
Registry record updated Jun 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SERENITY MINDS HEALTH PLLC
Doing business as
Serenity Minds Health PLLC
Practice address
4841 100TH St NE Unit a
Marysville, WA 98270-2352
Phone
(321) 324-6947
NPI assigned
Feb 23, 2026
Last updated
Jun 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2026

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

Authorized official

Name
Adebola Kafayat Adegbenro, PMHNP-BCNPI 1154970796
Title
Owner
Phone
(214) 281-9302

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

4841 100TH St NE Unit a
Marysville, WA 98270-2352

Mailing address

82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066
Phone (214) 281-9302

Other names 1

  • Serenity Minds Health PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781395200000",
    "number": "1386598969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 WENDELL AVE STE 100",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017066",
            "telephone_number": "214-281-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 100TH ST NE UNIT A",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982702352",
            "telephone_number": "321-324-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MINDS HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-06-14",
        "certification_date": "2026-06-14",
        "status": "A",
        "authorized_official_last_name": "ADEGBENRO",
        "authorized_official_first_name": "ADEBOLA",
        "authorized_official_middle_name": "KAFAYAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-281-9302",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Minds Health PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2026; 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.