SIMPLY SERENE WELLNESS CENTER
NPI 1336807411
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mesa, AZ

Active since December 06, 2021CLIA 03D2330477 · Waiver
939 E IMPALA AVE, MESA, AZ 85204(602) 756-9798(480) 546-4536 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2024, Dec 6, 2021 (2 updates tracked since 2021).

About Simply Serene Wellness Center NPPES

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

SIMPLY SERENE WELLNESS CENTER (NPI 1336807411) is a healthcare organization registered as a mental health (including community mental health center) in Mesa, Arizona and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Mary M Ndungu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336807411
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSIMPLY SERENE BEHAVIORAL HEALTH LLC
Location Address939 E IMPALA AVEMesa, AZ 85204-6619
Mailing Address14844 S 30th StPhoenix, AZ 85048-8714 · (508) 615-7980
Fax(480) 546-4536
Organization SubpartNo
Authorized OfficialMary M NdunguCeo · (602) 756-9798
Enumeration DateDecember 6, 2021
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
NPI 1336807411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
939 E IMPALA AVE, Mesa, AZ 85204

Other Names 1

Doing Business AsSimply Serene Wellness Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2330477

Simply Serene Behavioral Health · Mesa, AZ
Active · expires Sep 15, 2027
CLIA Number03D2330477
Laboratory TypeIop Center
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorMary Ndungu
Laboratory Phone(508) 615-7980
Laboratory LocationSimply Serene Behavioral Health939 E Impala Ave, Mesa, AZ 85204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
939 E IMPALA AVE
MESA, AZ 85204

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 Simply Serene Behavioral Health LLC's NPI number?

The NPI number for Simply Serene Behavioral Health LLC is 1336807411. It was assigned to this organization in the NPPES registry on December 6, 2021. The provider is doing business as Simply Serene Wellness Center.

Where is Simply Serene Behavioral Health LLC located?

Simply Serene Behavioral Health LLC is located at 939 E Impala Ave, Mesa, AZ 85204. The listed phone number is (602) 756-9798.

What is Simply Serene Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Simply Serene Behavioral Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2330477) is associated with this NPI, valid through September 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Simply Serene Behavioral Health LLC was last updated on September 5, 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.