Complete Serenity LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

COMPLETE SERENITY LLC

Practice address

2006 Broadway St Ste 101
Pearland, TX 77581-5559

Phone

(832) 779-8521

NPI assigned

Sep 26, 2018

Organization subpart

No

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

Authorized official

Name

Aisha Harris

Title

Credentialing Specialist

Phone

(713) 970-1093

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Kelly Michelle Martinez, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pearland, TX
  • NPI 1114427309

  Psychiatry

  Medicare reassignment NPD

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1629553698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 CONCORD KNOLL DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814791",
            "telephone_number": "832-779-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 BROADWAY ST STE 101",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815559",
            "telephone_number": "832-779-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE SERENITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "AISHA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "713-970-1093"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Surgical Assistants
• Compass Point Counseling, Inc.
• Compass Point Emergency Physicians, PLLC
• Complete Choice Personal Care, LLC
• Complete Excellence Home Health Care Inc
• Comprehensive Cardiac Diagnostics and Wellness PLLC (Cardiac Wellness Clinic)
• Concierge Chiropractic Clinic, LLC
• Cherice Michelle Conley-Harvey, MD
• Timothy Connolly
• Scott O'Quinn Conoly, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Pearland, TX
• Providers in Pearland, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.