Organization Active NPI

Serenity Healthy Minds and Telemedicine Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1922974773
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SERENITY HEALTHY MINDS AND TELEMEDICINE WELLNESS LLC
Practice address
20948 E Starflower Dr
Queen Creek, AZ 85142-2413
Phone
(480) 508-0774
Fax
(480) 508-0768
NPI assigned
Oct 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Ethel Oluyemisi Winfunke-RochinNPI 1588052823
Title
Pmhnp/Owner
Phone
(480) 508-0774

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

20948 E Starflower Dr
Queen Creek, AZ 85142-2413

Mailing address

24871 S Ellsworth Rd Ste 100
Queen Creek, AZ 85142-1575
Phone (480) 593-3563

National Provider Directory

National Provider Directory
Tax ID family
Serenity Healthy Minds and Telemedicine Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

24871 S Ellsworth Rd
Ste 100
Queen Creek, AZ 85142
Phone (480) 979-8273

Practitioners & affiliated clinicians

Practitioners 1

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": "1760572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1922974773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24871 S ELLSWORTH RD STE 100",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421575",
            "telephone_number": "480-593-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20948 E STARFLOWER DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422413",
            "telephone_number": "480-508-0774",
            "fax_number": "480-508-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HEALTHY MINDS AND TELEMEDICINE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-16",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "WINFUNKE-ROCHIN",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_middle_name": "OLUYEMISI",
        "authorized_official_title_or_position": "PMHNP/OWNER",
        "authorized_official_telephone_number": "480-508-0774"
    },
    "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": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.