Active NPI
Serenity TMS & Wellness PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Suffolk, VA
National Provider Identifier
1730992736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SERENITY TMS & WELLNESS PLLC
- Practice address
- 425 W Washington St
Suffolk, VA 23434-5320 - Phone
- (469) 915-4211
- NPI assigned
- Jan 31, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tenika Trotter
- Title
- Pmhnp
- Phone
- (469) 915-4211
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
425 W Washington St
Suffolk, VA 23434-5320
Mailing address
425 W Washington St Ste 4
Suffolk, VA 23434-5320
Phone (757) 644-0208
Other names 1
- Divine Serenity Psychiatry & Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250414000164 | VA | Part B Supplier - Clinic/Group Practice | 4486178373 |
Receives reassigned benefits from 1 practitioner Practice locations: Suffolk, VA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Suffolk, VA
- NPI 1053781005
Psychiatric/Mental Health, VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742342400000",
"number": "1730992736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W WASHINGTON ST STE 4",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234345320",
"telephone_number": "757-644-0208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W WASHINGTON ST",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234345320",
"telephone_number": "469-915-4211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY TMS & WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-31",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A",
"authorized_official_last_name": "TROTTER",
"authorized_official_first_name": "TENIKA",
"authorized_official_title_or_position": "PMHNP",
"authorized_official_telephone_number": "469-915-4211"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Divine Serenity Psychiatry & Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.