NPIMap

Organization Active NPI

Serenity Mental Health

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1497047203
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SERENITY MENTAL HEALTH
Practice address
1901 S Jones Blvd
Las Vegas, NV 89146-1260
Phone
(702) 815-1550
NPI assigned
May 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Gaby Cruz
Title
President
Phone
(702) 815-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1901 S Jones Blvd
Las Vegas, NV 89146-1260

Mailing address

1901 S Jones Blvd
Las Vegas, NV 89146-1260
Phone (702) 815-1550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151120000651 NV Part B Supplier - Clinic/Group Practice 3072813245 Receives reassigned benefits from 16 practitioners
Practice locations: Carson City, NV; Las Vegas, NV

National Provider Directory

National Provider Directory
Tax ID family
Serenity Mental Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1497047203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461260",
            "telephone_number": "702-815-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461260",
            "telephone_number": "702-815-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "GABY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-815-1550"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.