SERENE WELLNESS CENTER LLC
NPI 1013645712
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since August 10, 2022
10000 N 31ST AVE STE D304B, PHOENIX, AZ 85051(623) 323-2448(623) 666-6348 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 3, 2023, Aug 10, 2022 (2 updates tracked since 2022).

About Serene Wellness Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENE WELLNESS CENTER LLC (NPI 1013645712) is a healthcare organization registered as a psychiatric/mental health in Phoenix, Arizona and active in the NPI registry since August 2022. The organization lists Courtney Tafoya, Owner, as its authorized official.

NPPES Registry Identity

NPI1013645712
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSERENE WELLNESS CENTER LLC
Location Address10000 N 31ST AVE STE D304BPhoenix, AZ 85051-9582
Mailing Address544 S 172nd AveGoodyear, AZ 85338-1281
Fax(623) 666-6348
Organization SubpartNo
Authorized OfficialCourtney TafoyaOwner · (623) 323-2448
Enumeration DateAugust 10, 2022
Last NPPES UpdateJanuary 17, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
✔ NPI 1013645712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
10000 N 31ST AVE STE D304B, Phoenix, AZ 85051

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serene Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Serene Wellness Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1922608447
6677 W THUNDERBIRD RD
Glendale, AZ 85306
(623) 878-2100
✔ PECOS✔ Accepts Medicare4.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serene Wellness Center LLC's NPI number?

The NPI number for Serene Wellness Center LLC is 1013645712. It was assigned to this organization in the NPPES registry on August 10, 2022.

Where is Serene Wellness Center LLC located?

Serene Wellness Center LLC is located at 10000 N 31st Ave Ste D304b, Phoenix, AZ 85051. The listed phone number is (623) 323-2448.

What is Serene Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Serene Wellness Center LLC enrolled in Medicare?

Yes. Serene Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serene Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Serene Wellness Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Serene Wellness Center LLC was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.