SERENITY MENTAL HEALTH SPECIALISTS LLC
NPI 1407690530
Nurse Practitioner - Psychiatric/Mental Health in Tampa, FL

Active since June 24, 2024
3502 W TACON ST, TAMPA, FL 33629(727) 488-1452 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2025, Jul 15, 2024, Jun 24, 2024 (3 updates tracked since 2024).

About Serenity Mental Health Specialists Llc NPPES

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

SERENITY MENTAL HEALTH SPECIALISTS LLC (NPI 1407690530) is a healthcare organization registered as a psychiatric/mental health in Tampa, Florida and active in the NPI registry since June 2024. The organization lists Irina A Vangelov, Aprn, as its authorized official.

NPPES Registry Identity

NPI1407690530
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSERENITY MENTAL HEALTH SPECIALISTS LLC
Location Address3502 W TACON STTampa, FL 33629-7929
Mailing Address3502 W Tacon StTampa, FL 33629-7929 · (727) 488-1452 · Fax (727) 231-2124
Organization SubpartNo
Authorized OfficialIrina A VangelovAprn · (727) 488-1452
Enumeration DateJune 24, 2024
Last NPPES UpdateNovember 6, 20253 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1407690530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
3502 W TACON ST, Tampa, FL 33629

Other Names 1

Doing Business AsSerenity Mental Health Specialists Llc

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 Mental Health Specialists 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 Serenity Mental Health Specialists LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1548868862
1509 LAKEHURST WAY
Brandon, FL 33511
(999) 999-9999
✔ PECOS✔ Accepts Medicare12 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 Mental Health Specialists LLC's NPI number?

The NPI number for Serenity Mental Health Specialists LLC is 1407690530. It was assigned to this organization in the NPPES registry on June 24, 2024.

Where is Serenity Mental Health Specialists LLC located?

Serenity Mental Health Specialists LLC is located at 3502 W Tacon St, Tampa, FL 33629. The listed phone number is (727) 488-1452.

What is Serenity Mental Health Specialists LLC's specialty?

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

Is Serenity Mental Health Specialists LLC enrolled in Medicare?

Yes. Serenity Mental Health Specialists LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serenity Mental Health Specialists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Serenity Mental Health Specialists 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 Serenity Mental Health Specialists LLC was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.