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SERENITY PSYCHOLOGICAL SERVICES, LLC
NPI 1154995090
Psychologist - Clinical in Springfield, MO

Active since May 15, 2021
636 W REPUBLIC RD STE C104, SPRINGFIELD, MO 65807(417) 507-2407(417) 413-2763 Get Directions Write a Review

NPPES record last updated: May 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Serenity Psychological Services, Llc NPPES

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

SERENITY PSYCHOLOGICAL SERVICES, LLC (NPI 1154995090) is a healthcare organization registered as a clinical in Springfield, Missouri and active in the NPI registry since May 2021. The organization lists Samantha Dugan, Owner/clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1154995090
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSERENITY PSYCHOLOGICAL SERVICES, LLC
Location Address636 W REPUBLIC RD STE C104Springfield, MO 65807-5806
Mailing Address2131 W Republic Rd # 179Springfield, MO 65807-5705 · (417) 414-4419 · Fax (417) 413-2763
Phone(417) 507-2407
Fax(417) 413-2763
Organization SubpartNo
Authorized OfficialSamantha DuganOwner/clinical Psychologist · (417) 414-4419
Enumeration DateMay 15, 2021
NPPES CertifiedMay 15, 2021
✔ NPI 1154995090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
636 W REPUBLIC RD STE C104, Springfield, MO 65807
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serenity Psychological Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Serenity Psychological Services, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Sherrie Wallace, MSW, LCSW
Clinical Social Worker
NPI 1528491529
4650 S NATIONAL AVE STE C1
Springfield, MO 65810
(660) 243-4363
✔ PECOS1.5 mi
Rosemary Rubenstein, PSYD, LP
Clinical Psychologist
NPI 1689645509
1300 E BRADFORD PKWY BLDG B
Springfield, MO 65804
(417) 761-5000
✔ PECOS✔ Accepts Medicare1.5 mi
Samantha Dugan, PSYD
Clinical Psychologist
NPI 1467824763
3827 S TIMBERCREEK AVE
Springfield, MO 65807
(417) 507-2407
✔ PECOS3.5 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 Serenity Psychological Services, LLC's NPI number?

The NPI number for Serenity Psychological Services, LLC is 1154995090. It was assigned to this organization in the NPPES registry on May 15, 2021.

Where is Serenity Psychological Services, LLC located?

Serenity Psychological Services, LLC is located at 636 W Republic Rd Ste C104, Springfield, MO 65807. The listed phone number is (417) 507-2407.

What is Serenity Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Serenity Psychological Services, LLC enrolled in Medicare?

Yes. Serenity Psychological Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serenity Psychological Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Serenity Psychological Services, LLC, in Clinical Psychologist and Clinical Social Worker. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Serenity Psychological Services, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Serenity Psychological Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Serenity Psychological Services, LLC was last updated on May 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.