Serenity Mental Health PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SERENITY MENTAL HEALTH PLLC

Practice address

320 N Main St
Winnsboro, TX 75494-2524

Phone

(033) 471-5609

Fax

(903) 347-6500

NPI assigned

Jul 19, 2021

Organization subpart

No

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

Authorized official

Name

Jennifer L Angelo, APRN, PMHNP - BC

Title

Owner

Phone

(903) 347-1560

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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

• Jennifer Lee Angelo-Jongsma, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Winnsboro, TX
  • NPI 1851676134
  Medicare reassignment NPD
• Sara R Hays, LCSW

  • Clinical Social Worker
  • Winnsboro, TX
  • NPI 1205021011
  NPD (past)

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1669045761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N MAIN ST",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754942524",
            "telephone_number": "903-347-1560",
            "fax_number": "903-347-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MAIN ST",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754942524",
            "telephone_number": "033-471-5609",
            "fax_number": "903-347-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "ANGELO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-347-1560",
        "authorized_official_credential": "APRN, PMHNP - BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "businessjenny7@gmail.com",
            "affiliation": "N",
            "address_1": "320 N Main St",
            "city": "Winnsboro",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754942524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristy Lynn Savage
• Terri A Schubert, HHA
• Joshua R Scott
• Lisa Michelle Seale, COTA
• Ashley Sells, COTA
• Shannon Lynn Sharpton, LVN
• Robert A Shotwell, PT
• Sleepy Anesthesia Associates PLLC
• Kathy G. Smedley, LPC-S, LMFT, LSOTP,
• Sasha Paige Sorensen X, PTA

• Psychiatric/Mental Health Nurse Practitioner in Winnsboro, TX
• Providers in Winnsboro, 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 Jul 19, 2021; 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.