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SERENITY PSYCHOTHERAPY LLC
NPI 1295258101
Social Worker - Clinical in Long Beach, MS

Active since July 23, 2017
5095 BEATLINE RD, LONG BEACH, MS 39560(228) 365-2317 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 17, 2024, Jul 25, 2017, Jul 23, 2017 (3 updates tracked since 2017).

About Serenity Psychotherapy Llc NPPES

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

SERENITY PSYCHOTHERAPY LLC (NPI 1295258101) is a healthcare organization registered as a clinical in Long Beach, Mississippi and active in the NPI registry since July 2017. The organization lists Heather W Black, Therapist/ Owner, as its authorized official.

NPPES Registry Identity

NPI1295258101
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSERENITY PSYCHOTHERAPY LLC
Location Address5095 BEATLINE RDLong Beach, MS 39560-3814
Mailing Address222 Boggs CirLong Beach, MS 39560-5807 · (228) 365-2317
Phone(228) 365-2317
Organization SubpartNo
Authorized OfficialHeather W BlackTherapist/ Owner · (228) 365-2317
Enumeration DateJuly 23, 2017
Last NPPES UpdateDecember 17, 20243 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1295258101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MS · C5680
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5095 BEATLINE RD, Long Beach, MS 39560
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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 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 Louisiana Healthcare Connections, 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 Psychotherapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Serenity Psychotherapy LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Heather Black, LCSW
Clinical Social Worker
NPI 1538491634
5095 BEATLINE RD
Long Beach, MS 39560
(228) 223-2205
✔ PECOS✔ Accepts MedicareSame address
Chelsea Landwehr, LCSW
Clinical Social Worker
NPI 1104570977
5095 BEATLINE RD
Long Beach, MS 39560
(228) 223-2205
✔ PECOS✔ Accepts MedicareSame address

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 Psychotherapy LLC's NPI number?

The NPI number for Serenity Psychotherapy LLC is 1295258101. It was assigned to this organization in the NPPES registry on July 23, 2017.

Where is Serenity Psychotherapy LLC located?

Serenity Psychotherapy LLC is located at 5095 Beatline Rd, Long Beach, MS 39560. The listed phone number is (228) 365-2317.

What is Serenity Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Serenity Psychotherapy LLC enrolled in Medicare?

Yes. Serenity Psychotherapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serenity Psychotherapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Serenity Psychotherapy 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Serenity Psychotherapy LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Serenity Psychotherapy 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 Psychotherapy LLC was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.