NPIMap

Organization Active NPI

Serenity Medspa LLC

  • Community Health Nurse Practitioner
  • Paragould, AR
National Provider Identifier
1417818733
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
Legal business name
SERENITY MEDSPA LLC
Practice address
1707 Linwood Dr Ste B-1
Paragould, AR 72450-5364
Phone
(870) 558-6710
Fax
(870) 203-9815
NPI assigned
Nov 18, 2025
Organization subpart
Yes
Parent organization
NEXTSTEP COUNSELING SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Heather McQuay, MSHCM
Title
Director of Accounts
Phone
(870) 604-4455

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Community Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LC1500X Primary

Addresses

Primary practice location

1707 Linwood Dr Ste B-1
Paragould, AR 72450-5364

Mailing address

1707 Linwood Dr Ste B-1
Paragould, AR 72450-5364
Phone (870) 558-6710

National Provider Directory

National Provider Directory
Part of
Nextstep Counseling Services LLC

Locations

1707 Linwood Dr
Ste B1
Paragould, AR 72450
Phone (870) 558-6629

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1417818733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 LINWOOD DR STE B-1",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505364",
            "telephone_number": "870-558-6710",
            "fax_number": "870-203-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 LINWOOD DR STE B-1",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505364",
            "telephone_number": "870-558-6710",
            "fax_number": "870-203-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MEDSPA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEXTSTEP COUNSELING SERVICES, LLC",
        "enumeration_date": "2025-11-18",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "MCQUAY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS",
        "authorized_official_telephone_number": "870-604-4455",
        "authorized_official_credential": "MSHCM"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.